Immigration Medical Exam (I-693)

Form I-693 (Report of Medical Examination and Vaccination Record) is a required medical exam for obtaining a green card through Adjustment of Status.

Who Conducts It

Only authorized physicians (civil surgeons) designated by USCIS may perform this exam. A list is available on the USCIS website by searching "Find a Civil Surgeon."

When to Complete It

Form I-693 is valid for 2 years from the date the physician signs it. Submit it together with your I-485 or bring it to your interview.

The medical exam includes a physical examination and a vaccination review.

Physical Examination

• General exam (vision, hearing, height, weight)
• Screening for communicable diseases (tuberculosis, syphilis)
• Mental health evaluation
• Substance abuse screening

Required Vaccinations

• MMR (measles, mumps, rubella)
• Polio, tetanus, diphtheria
• Hepatitis A and B
• Varicella (chickenpox)
• Influenza (in season)
• COVID-19
• Others based on age

Proper preparation can help you avoid repeat visits and unnecessary expenses.

What to Bring to Your Appointment

• Photo ID (passport)
• Vaccination records (if available)
• Medical records for any chronic conditions
• Results of any prior TB tests

Cost

USCIS does not cover the cost of the exam. Typical fees range from $200–$500 depending on the physician and the number of vaccines required. Vaccines may cost an additional $100–$300.

If You Don't Have a Vaccination Record

The physician will administer any necessary vaccines on-site or schedule follow-up appointments. This will increase both the cost and the time required.