Report of Medical Examination and Vaccination Record
This file is used for the medical examination and vaccination record required by the U.S. Citizenship and Immigration Services. It is essential for individuals seeking immigration benefits to document their medical history and vaccinations accurately. Proper completion and submission of this form are crucial to ensure timely processing of immigration applications.
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How do I fill this out?
To fill out this form, you need to provide accurate personal information as instructed. Make sure to read each section carefully and answer all questions truthfully. After completing the form, ensure it is signed by both you and the civil surgeon.

How to fill out the Report of Medical Examination and Vaccination Record?
1
Read the instructions thoroughly.
2
Fill in your personal information as directed.
3
Select the appropriate statements in the applicant's statement section.
4
Provide interpreter information if necessary.
5
Sign and date the form as required.
Who needs the Report of Medical Examination and Vaccination Record?
1
Individuals applying for immigration benefits must provide a medical examination record.
2
Foreign nationals seeking adjustment of status require this documentation.
3
Anyone needing to prove vaccinations for immigration purposes utilizes this form.
4
Individuals who have been requested to submit a medical evaluation to USCIS must complete this.
5
Applicants required to submit their medical history for visa processing need to fill this form.
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What are the instructions for submitting this form?
Submit Form I-693 to the U.S. Citizenship and Immigration Services (USCIS) in a sealed envelope as instructed. You may also need to provide it during your immigration interview or as provided during the application process. Ensure that the form is completed, signed, and dated as required, and include all necessary supporting documents as needed for a complete submission.
What are the important dates for this form in 2024 and 2025?
For 2024 and 2025, ensure you check for any updates or changes to USCIS requirements related to Form I-693 submission, including potential expiration dates or changes in the medical examination guidelines. Stay informed of any announcements from USCIS regarding the submission process.

What is the purpose of this form?
The purpose of Form I-693 is to document the medical examination and vaccination information required for immigration applicants. This form helps the U.S. Citizenship and Immigration Services to ensure that individuals meet public health requirements as part of the immigration process. By providing accurate medical records, applicants can contribute to the successful evaluation of their immigration petitions.

Tell me about this form and its components and fields line-by-line.

- 1. Family Name: The applicant's last name.
- 2. Given Name: The applicant's first name.
- 3. Middle Name: The applicant's middle name.
- 4. Date of Birth: The applicant's date of birth.
- 5. Alien Registration Number: Any assigned A-Number.
- 6. USCIS Online Account Number: Any USCIS online account number if applicable.
- 7. Signature: The applicant's signature.
What happens if I fail to submit this form?
Failure to submit Form I-693 can result in delays or denials of immigration benefits. Incomplete forms may lead to requests for additional information or documentation that can prolong the application process. It is crucial to ensure accurate and full submission to avoid any complications.
- Delay in Processing: Incomplete submissions can lead to significant delays in immigration processing timelines.
- Denial of Application: Errors or omissions may result in outright denial of immigration applications.
- Request for Additional Information: Failure to provide complete information may necessitate follow-up communications from USCIS.
How do I know when to use this form?

- 1. Adjustment of Status Applications: Individuals applying for adjustment of status must submit this form.
- 2. Visa Applications: Certain visa applicants are required to provide this form.
- 3. Medical Examination Documentation: To document the results of the medical examination conducted by a civil surgeon.
Frequently Asked Questions
What is Form I-693?
Form I-693 is the Report of Medical Examination and Vaccination Record required for immigration purposes.
Who needs to complete Form I-693?
Anyone applying for immigration benefits must complete this form to document their medical examination.
How do I fill out Form I-693?
Carefully read each section, provide accurate information, and follow all instructions.
Can I edit Form I-693?
Yes, you can edit Form I-693 using PrintFriendly's PDF editor.
How do I submit Form I-693?
Submit the completed form to USCIS as instructed, in a sealed envelope.
Is there a fee associated with Form I-693?
There is no fee for the form itself, but you may incur costs for the medical exam.
What happens if I make a mistake on Form I-693?
Correct any mistakes before submitting, as errors can lead to delays.
Can I save my edits on PrintFriendly?
You can edit and download your PDFs, however saving files within the site is not currently available.
What is the importance of Form I-693?
It ensures compliance with immunization requirements for U.S. immigration.
How can I ensure my form is successfully processed?
Fill it out completely and accurately before submission.
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