Streamline Your Green Card Application: USCIS Mandates Form I-693

If you’re planning to apply for a green card (Form I-485), the process has just changed. The U.S. Citizenship and Immigration Services (USCIS) now requires all green card applicants to submit Form I-693, “Report of Immigration Medical Examination and Vaccination Record,” at the same time as their application. Here’s what you need to know to stay ahead of this new policy.

What’s New?

The USCIS has revised its filing policy to improve efficiency. Here are the key changes:

• You must include your medical examination results (Form I-693) when filing your green card application (Form I-485).
• Submitting your green card application without Form I-693 may result in rejection.
• This applies to both full medical exams and vaccination-only records.

Why Did USCIS Make This Change?

The new policy is designed to:

• Simplify and speed up the process by reducing the need for Requests for Evidence (RFEs).
• Ensure all required documents are submitted together, eliminating delays caused by missing information.

Who Does This Affect?

This policy impacts anyone filing a green card application who is required to submit medical examination results. If you’re planning to apply for permanent residence (adjustment of status), this update is important for you.

Planning Your Application

To ensure a smooth application process, follow these steps:

1. Schedule Your Medical Exam
   Book an appointment with an approved USCIS doctor (called a civil surgeon). You can find a list of approved doctors on the USCIS website.

2. Complete the Exam and Vaccinations
   Get all required vaccines and have the medical exam performed by the civil surgeon.

3. Get Form I-693 Completed and Signed
   Make sure the doctor properly completes and seals your Form I-693.

4. Submit Form I-693 with Your Application
   Keep the medical form in its sealed envelope and submit it along with your Form I-485 application.

Special Cases

Some applicants may use prior medical exams under certain conditions:

• Refugees: Can use their original medical exam if it didn’t reveal serious health concerns.
• Asylee Family Members: Can use overseas exam results if applying within one year.
• K (Fiancé) Visa and V Visa Holders: Can use exams completed within one year of applying.
• Afghan Nationals (Operation Allies Welcome): Can use previous exams from overseas or U.S. government facilities.

If you fall into one of these categories, double-check your eligibility to reuse prior medical exams.

Helpful Tips for Your Application

To avoid delays or complications, keep these tips in mind:

• Don’t open the sealed envelope: Your Form I-693 must remain sealed.
• Verify your doctor’s credentials: Only civil surgeons approved by USCIS can perform the exam.
• Make copies for your records: Keep copies of all vaccination and medical documentation for your files.
• Plan ahead: Schedule your exam early to avoid delays in your application timeline.

Next Steps

To prepare for the new USCIS policy:

1. Find an Approved Doctor
   Use the USCIS website to locate a civil surgeon near you.

2. Schedule and Complete Your Exam
   Allow enough time to complete the exam before filing your green card application.

3. Gather All Required Documents
   Ensure you have Form I-693, Form I-485, and any additional documents USCIS requires.

4. Submit Everything Together
   Include your sealed medical form with your green card application package.

Need More Information?

If you have specific questions or need additional guidance:

• Visit the USCIS website for details on finding a doctor and completing Form I-693.
• Check the USCIS Policy Manual for comprehensive requirements.
• Consult with an immigration lawyer if you’re unsure how this policy impacts your case.