Understanding the I-693 Immigration Physical: A Comprehensive Guide

If you're applying for a green card (lawful permanent residence) in the United States, one of the key steps in the process is completing the I-693 immigration physical, also known as the "Report of Medical Examination and Vaccination Record." This medical examination ensures that you meet certain health-related requirements for permanent residency. In this blog, we'll walk you through what the I-693 involves, why it's required, and what to expect during your immigration physical.

What Is the I-693 Immigration Physical?

The I-693 immigration physical is a medical examination required by U.S. Citizenship and Immigration Services (USCIS) to determine whether you have any health conditions that could affect your eligibility for a green card. The examination includes a review of your medical history, a physical examination, and verification of certain vaccinations. A designated civil surgeon must complete the form, which is then submitted as part of your green card application.

Why Is the I-693 Required?

The I-693 immigration physical helps ensure public safety and health in the United States by identifying medical conditions that could pose a threat to others. It focuses on specific health concerns, including:

• Communicable Diseases of Public Health Significance: These include tuberculosis, syphilis, and other sexually transmitted infections (STIs), among others.
• Vaccination Status: You need to show proof of vaccinations for diseases like measles, mumps, rubella, and others as required by U.S. law.
• Physical or Mental Disorders with Harmful Behavior: This assesses whether you have a physical or mental condition that could result in harmful behavior.
• Drug Abuse or Addiction: The examination includes screening for substance abuse.

What to Expect During the I-693 Examination

When you attend your I-693 immigration physical, here's what you can generally expect:

• Medical History Review: The civil surgeon will review your medical history to determine any past or current health issues.
• Physical Examination: This typically includes checking your height, weight, blood pressure, heart rate, and other vital signs.
• Tuberculosis Screening: You might need a tuberculin skin test or a blood test to check for tuberculosis.
• Vaccination Check: The civil surgeon will review your vaccination history to ensure you've received all required vaccines.
• Additional Testing: Depending on your medical history and physical examination, the civil surgeon may order additional tests or screenings.

Preparing for Your I-693 Examination

To ensure a smooth and efficient examination, here are some tips to help you prepare:

• Choose a Designated Civil Surgeon: You must visit a USCIS-designated civil surgeon for the examination. You can find a list of approved surgeons on the USCIS website.
• Gather Your Medical Records: Bring any medical records, including vaccination records, to the appointment. This will help the civil surgeon verify your vaccination status.
• Follow Instructions: If the civil surgeon requires any additional tests or follow-up appointments, be sure to comply with their instructions.
• Prepare for Costs: The cost of the examination varies depending on the surgeon and the required tests. Check with the civil surgeon in advance to understand the fees involved.

What Happens After the Examination?

Once the examination is complete, the civil surgeon will fill out the I-693 form, sign and seal it, and provide it to you in a sealed envelope. Do not open the envelope—it's intended for USCIS. You'll submit the sealed envelope as part of your green card application. The results of the examination remain confidential and are used solely to determine your eligibility for a green card.

Conclusion

The I-693 immigration physical is a crucial step in the green card application process. By understanding what to expect and preparing in advance, you can ensure a smooth and successful examination. If you have questions about the process, consult with your immigration attorney or contact USCIS for guidance.