Citizenship and immigration services uscis for an extension of stay or a change to another nonimmigrant status. Form i693, report of medical examination and vaccination. Eastern to discuss recent changes made to form i693, report of medical examination and vaccination record uscis officials provided a general overview of form i693, outlined the changes and additions made to the form, and answered any questions. I certify under penalty of perjury under united states law that i am the person who is identified in. Form ia officially called the supplemental information for spouse beneficiary is a document used by u.
Form i693, report of medical examination and vaccination record, is used by u. How to arrange for a green card medical exam report form i. I declare certify, verify, or state under penalty of perjury under the laws of the united states of america that the foregoing is true and correct. I693, report of medical examination and vaccination record. Anyone who is eligible to file form i485 needs to makes sure this hisher i693 medical exam wasnt signed more than 60 days before the filing date of form i485. How to arrange for a green card medical exam report form. Oig1878 uscis medical admissibility screening process. This form must be completed by a uscis approved civil surgeon and once sealed by the surgeon must not be opened by the applicant.
Form i693 instructions 071519 page 4 of 12 item number 3. Jun 10, 2014 go to uscis website and print out the latest version of form i 693 some civil surgeon may charge you for the form if you do not print it out and take it with you to the medical exam appointment. Uscis has published new forms i and ia and they are available. Form i693 is used to report results of a medical examination to u.
Validity period of form i693, report of medical examination. This revised form must be used for any medical examination completed on or after may 1, 2008. The updated policy, effective 11118, will require applicants to submit a form i 693 that is signed by a civil surgeon no more than 60 days before filing the underlying immigration application. Except for part 1, the form i693 is completed by uscis designated physician also known as a civil a surgeon. Exceptions to the exam requirement are made for some people who had. Form i539 is used by nonimmigrants who wish to apply to u. Form i693 report of medical examination and vaccination. If you are applying for adjustment of status a green card in the united states, you will need to have a medical exam done and submit the results to u. The most secure digital platform to get legally binding, electronically signed documents in just a few seconds. Applicants statement, contact information, certification, and signature. Uscis revised the validity period of form i 693, report of medical examination and vaccination record. Information about you form i 693 is divided into seven parts. Image next to the form number below indicates that efiling is available for that form.
Federal register agency information collection activities. You can find the edition date at the bottom of the page on the form and instructions. This form must be completed by a uscisapproved civil surgeon and once sealed. Form i 539 is used by nonimmigrants who wish to apply to u. Form i 693 instructions 033015 n page 3 of 11 part 1. To be the easiest way to complete and sign pdf forms, for everyone. Always check the website for the most recent version of this form and current filing fees. Citizenship and immigration services officers of the revised vaccination requirements for healthrelated admissibility under.
Uscis will not accept the 020717 version or any previous editions that a civil surg. Recently the uscis revised its form i693 to incorporate the vaccination report into the main form, so now there no longer exists a supplemental form. The report of any consulting physician, as received by the civil surgeon, must be included with the form i 693. Instructions for report of medical examination and. Report of medical examination and vaccination record department of homeland security u. Fill out, securely sign, print or email your form i693, report of medical examination and vaccination. In order to show that they do not have these medical conditions, applicants filing for a green card must submit uscis form i 693 report of medical examination and vaccination record. I furthermore authorize release of information contained in this form, in supporting documents, and in my uscis records, to other entities and. Uc international services recommends that i485 applicants holding h1b status maintain their non.
Understand the roles of civil surgeons, cdc, uscis, and local health departments in the medical. What is the supplemental form i693 ive been looking. The supplemental form i693 was the vaccination report that was included with the form i693 medical report. To find a uscis designated civil surgeon, the applicant may call the uscis ntional customer a service center at 800 3755283 and follow the automated menu or go to and click on. Information about you to be completed by the person requesting a medical examination, not. Technical instructions for civil surgeons immigrant and. Fill only part 1, your name, and a number at the top of each page. Report of medical examination and vaccination record. In order to show that they do not have these medical conditions, applicants filing for a green card must submit uscis form i693 report of medical examination and vaccination record. Form i693, medical examination of aliens seeking adjustment. The supplemental form i 693 was the vaccination report that was included with the form i 693 medical report. Immigration medical exam and the form i693 11 the role of civil surgeons civil surgeons are encouraged to subscribe to receive notifications from uscis on upcoming outreach events, changes to medical examination policies or revisions to form i693. Uscis announced that it has revised form i693, report of medical examination and vaccination record, because of changes to the tb component of the cdcs technical instructions for civil surgeons.
Form i693 pdf, 610 kb instructions for form i693 pdf, 327 kb. Complete this part before your medical examination appointment. Please note that all references to the uscis pm in this article are current as of the date of publication, october 16, 2018. Form is required for most applicants filing for adjustment of status. All the forms below require acrobat reader, available for free.
Changes to the vaccination requirements for purposes of. Uscis revised the validity period of form i693, report of medical examination and vaccination record. As of august 2016, the uscis693 exam requires a gonorrhea urine test for all applicants over 15 years of age. Prior to march 11, 2014, individual uscis field offices were responsible for determining whether a physician met the requirements to be designated as a civil surgeon.
Civil surgeons certification do not sign form or have the applicant sign in part 1. Citizenship and immigration services officers of the revised vaccination requirements for healthrelated admissibility under section 212a1aii of the. A foreign national submits the to uscis as part of his or her form immigration benefits application, if required. Page 1, part 3 civil surgeons certification health departments acting as civil surgeons must use an official health department stamp or raised seal when completing the i693. Go to uscis website and print out the latest version of form i693 some civil surgeon may charge you for the form if you do not print it out and take it with you to the medical exam appointment. The current list of civil surgeons in your area is available at the civil surgeon locator, under resources. The civil surgeon remains responsible for completing and forwarding the medical report form to the applicant so that the applicant can submit it to a uscis dhs official. These instructions will help you complete form i 693. Civil surgeons must perform the immigration medical examination according to the.
Aila uscis revises guidance on validity period for form i693. Instructions on how to fill i693 form you must use internet explorer to open the file. This site provides applicants the ability to see an estimate of the time to completion from submission of uscis forms based on its adjudication location and subtype. Form i 693 fill out and sign printable pdf template. Tools to help you prepare for filing and help finding citizenship preparation classes. Generated by united states citizenship and immigration services uscis usually required for individuals applying for legal permanent residence green card required to rule out issues of public health concern. Citizenship and immigration services uscis website cdc pdf pdf 5 pages external. Note that the form is free when you print it out from uscis website. You must submit form i693 in a sealed envelope to uscis as directed in the form i693 instructions.
Make sure you get a copy of the completed form i 693 for your personal records before the doctor seals the envelope. If you are filling out this form electronically, you may delete this. Fill part 2 only if an interpreter is helping you with your application for i693. Understanding the role of the civil surgeon validity of the i693 form for immigrants. This is the date uscis uses to determine form i693 validity. Immigration medical exam and the form i 693 11 the role of civil surgeons civil surgeons are encouraged to subscribe to receive notifications from uscis on upcoming outreach events, changes to medical examination policies or revisions to form i 693. Weve detected an unusually high number of searches coming from your location. Citizenship and immigration services uscis to establish whether an applicant for ajustment of status is inadmissible to d the united states on public health grounds. Form i693 report of medical examination and vaccination record. The medical examination must be conducted by a physician who has been designated by uscis as a civil surgeon. The way to complete the online form i 693 on the internet. Uptodate information about the application process for immigration benefits. Prior to march 11, 2014, individual uscis field offices were responsible for determining whether a physician met the requirements to.
I693, report of medical examination and vaccination. Nov 15, 2018 although the i 693 medical exam will remain valid for a twoyear period following the date the civil surgeon signed it, uscis officers still have the discretion to request a new form i 693 if they have reason to believe the applicant may be inadmissible on healthrelated grounds. Medical examination of aliens seeking adjustment of status i694. Citizenship and immigration services uscis form i693 omb no. Provide your uscis 693 medical exam efficiently and correctly. You can fill the form on this website and print it. Form i693 reports results of a medical examination to u.
Medical exams and form i693 curry international tuberculosis. You must submit form i 693 in a sealed envelope to uscis as directed in the form i 693 instructions. Enter your official contact and identification details. Changes to the vaccination requirements for purposes of adjustment of status and the completion of form i693, report of medical examination and vaccination record open pdf 2 kb this memorandum advises uscis u. Cdc civil surgeons technical instructions immigrant. Fill part 2 only if an interpreter is helping you with your application for i 693. Follow the applications instructions, follow the instructions that the office requesting the medical examination gave you, or call the uscis national customer service center at 18003755283 for the most current information on where to file this benefit request.
A brief overview of the role of the civil surgeon and a list of uscisdesignated medical providers in minnesota who can sign off on the i693 medical exam. Cdc civil surgeons technical instructions immigrant and. Form i693, report of medical examination and vaccination record. After the exam, the doctor will complete form i 693 and seal the form in an envelope for you to submit to uscis. Form i 693 is used to report results of a medical examination to u. As of august 2016, the uscis 693 exam requires a gonorrhea urine test for all applicants over 15 years of age. Report of medical examination and vaccination record uscis. If you type it, it would be better to use all capital letters.
Page 1 of 5 start here type or print in capital letters use black ink part 1. Completing the i 693 jill grumbine, rn bsn newcomer health program coordinator what is the i 693. The doctor will give you your results in a sealed envelope. I693 report of medical examination and vaccination record inova. Fill out, securely sign, print or email your form i693 20172020 instantly with signnow. Citizenship and immigration services uscis to gather additional background information about a spouse seeking a marriagebased green card.
Consideration of deferred action for childhood arrivals daca affidavit of support. If you have previously filed an application, petition, or request using the uscis online filing system previously called uscis electronic immigration system uscis elis. Form i 693 fill out and sign printable pdf template signnow. Start a free trial now to save yourself time and money. People applying for immigrant visas from overseas must also have a medical exam done, though the process is slightly different. Although the i693 medical exam will remain valid for a twoyear period following the date the civil surgeon signed it, uscis officers still have the discretion to request a new. I 693 fill out and sign printable pdf template signnow.
Fill out your name and anumber if any at the top of each page of form i 693. Whenever possible and if you are eligible, you should do efiling for a form. Uscis will not accept the form if the envelope has been opened or altered. Recently the uscis revised its form i 693 to incorporate the vaccination report into the main form, so now there no longer exists a supplemental form. The civil surgeon remains responsible for completing and forwarding the medical report form to the applicant so that the applicant can submit it to a uscisdhs official. The form focuses on the past five years of their residential and employment history, as well as details about their parents.
Aila uscis revises guidance on validity period for form. Do whatever you want with a form i693, report of medical examination and vaccination. The report of any consulting physician, as received by the civil surgeon, must be included with the form i693. I693, report of medical examination and vaccination record uscis. For more information on the validity of form i693, see the uscis policy manual volume 8, part b, chapter 4.
Citizenship and immigration services uscis invited you to participate in a stakeholder teleconference on tuesday, sept. The civil surgeon provides the sealed, completed medical form to the applicant, who then provides it to uscis. For applicants requiring referral, the civil surgeon must not classify, issue medical clearance for tuberculosis, or sign the i693 pdf icon pdf 14 pages external icon form until the applicant returns from the local health department with documentation of the results of his or her tuberculosis disease evaluation. Updated form i693 report of medical examination validity. The updated policy, effective 11118, will require applicants to submit a form i693 that is signed by a civil surgeon no more than 60 days before filing the underlying immigration application. The older version of form i 12232016 will not be accepted after april 27th, 2017. The advanced tools of the editor will direct you through the editable pdf template. Please note that some forms are available for efiling. Any old references to the supplemental form are now outdated.
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