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I-693 and Finding a Civil Surgeon

Finding an Authorized Doctor

When you apply for a green card (adjustment of status), you usually need to have a medical examination. If you have had a medical exam within the past year, the exam that you completed for your visa will suffice, then there is no need to complete the medical exam. Go right to the I-495 and follow the instructions. Note, you exam must be "complete" or you will need to continue reading here which will

 

If you have not had an exam within the past year or your exam was incomplete then an exam must be done by a doctor who is authorized by U.S. Citizenship and Immigration Services. Authorized doctors are called civil surgeons (CS). Military physicians are authorized to perform immigration medical exams at a military treatment facility (MTF) within the United States for veterans, members of the military, and designated dependents. To find the closest authorized doctor, enter your address or ZIP code here.

 

What to Bring to the Exam

Bring the following to your medical exam:

  • Form I-693, Report of Medical Examination and Vaccination Record

  • Government-issued photo identification, such as a valid passport or driver’s license. If you are 14 years old or younger, bring identification that shows your name, date and place of birth and parent’s full name. Possible forms of identification include your birth certificate (with an English translation) or an affidavit.

  • Vaccination or immunization record (such as DT, DTP, DTaP, Td, Tdap, OPV, IPV, MMR, Hib, hepatitis A, hepatitis B, varicella, pneumococcal influenza, rotavirus and meningococcal disease)

  • Medical insurance card (check with the doctor’s office to make sure the office accepts your medical plan)

  • Payment (check with the doctor’s office about acceptable forms of payment). It is also a good idea to call a few doctors to find out how much they charge for the exam. Prices can vary by a few hundred dollars.

 

During the Exam

The doctor will test for communicable diseases such as tuberculosis and syphilis. The tuberculosis test is done in two parts. You will have to return to the doctor’s office within two to three days to have the results read. The syphilis test is a blood test.

 

The doctor will also check your records to see if you need any vaccinations.

 

After the exam, the doctor will complete Form I-693 and seal the form in an envelope for you to submit to USCIS. Make sure you get a copy of the completed Form I-693 for your personal records before the doctor seals the envelope. USCIS will not accept the form if the envelope has been opened or altered.

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