Medical Examination

USCIS Form I-693 Report of Medical Examination and Vaccination Record – Frequently Asked Questions:

Q: How long is the civil surgeon signature valid on the adjustment of status medical Form I-693?

A: The medical has a validity period of one year.

USCIS states that all applicants filing for adjustment of status should have their medical and /or vaccination section completed as close to the submission of the I-485 as possible.

Q: What does the medical examination involve?

A: When the entire medical exam is required, the designated civil surgeon is responsible for ensuring that all of the required components have been completed.

The civil surgeon will record the results on Form I-693.

For applicants required to have the entire medical exam, all of the following are required. All adjustment of status applicants are required to comply with the vaccination requirements.

Physical Examination: A physical examination and mental status evaluation are required, regardless of age.

Tuberculin (TB) Skin Test: All applicants two years of age and older are required to have a tuberculin skin test (TST) given by the Mantoux technique. (Civil surgeons may require an applicant younger than two years to undergo a TST if there is evidence of contact with a person known to have tuberculosis or other reason to suspect tuberculosis.) After the skin test, the applicant will need to return to the civil surgeon within 48 to 72 hours to have the results read. If you have a reaction of four millimeters or less, generally you will not need any further tests for TB. A chest X-ray is required when the reaction to the TST is five millimeters or more. The civil surgeon will explain the medical requirements to you in more detail

Vaccinations: By law, the required vaccines include: mumps, measles, rubella, polio, tetanus and diphtheria toxoids, pertussis, influenza, hepatitis B, haemophilus influenzae type B, varicella, pneumococcal, rotavirus, hepatitis A, meningococcal, human papillomavirus, zoster, and any other vaccinations recommended by the Advisory Committee for Immunization Practices (ACIP).

Q: Can I open the envelope with my I-693 certified forms?

A: NO. When all tests and immunizations are completed, the I – 693 forms will be signed and placed in a sealed envelope to present to USCIS.

DO NOT OPEN THE SEALED ENVELOPE.

Each patient will have his or her own envelope.

Take or send the sealed envelope to the USCIS officer and let him / her open it.

If for any reason the sealed envelope is opened before the officer receives it, you will need to return the envelope to our office to have it resealed.

If the USCIS officer receives the envelope unsealed, he will void the forms and you must redo the forms.

Q: What if I am a K nonimmigrant visa holder and already had a medical exam overseas?

A: If you were admitted as a:

K-1 fiance(e) or a K-2 child of a K-1 fiance(e), or as a

K-3 spouse of a U.S. citizen or a K-4 child of a K-3 spouse of a U.S. citizen, and

You received a medical examination prior to admission, then:

You are not required to have another medical examination as long as your Form I-485, Application to Register Permanent Residence or Adjust Status, is filed within one year of your overseas medical examination.

You will, however, be required to complete Part 1, Information about you, and submit the vaccination section of Part 2 with your adjustment of status application. A designated civil surgeon must complete the vaccination section and Part 5, the Civil Surgeon’s Certification.

Q: What are the medical grounds of inadmissibility?

A: The medical grounds of inadmissibility under U.S. immigration laws are divided into four categories:

Communicable diseases of public health significance.

Lack of required vaccinations.

Physical or mental disorders with harmful behavior.

Drug abuse/drug addiction.

Q: How can I find a USCIS Civil Surgeon to perform the medical exam.

A: You may use the USCIS Civil Surgeons Locator.

Client Reviews

I've had the pleasure of conducting business with this law firm for the last 10 years. They have been nothing but the best for every aspect of immigration need I had. From F1 all the way to citizenship. They're probably the most affordable, knowledgeable, and most efficient immigration law firm out there. Plus, they always provide responses to questions in a very timely manner. Trust me, other immigration law firms will cost you an arm and a leg for the same or less of a service compared to this law firm. Give them a call, check out their website. You will not regret it.
Andy Glasgow
Andy Glasgow
17:26 27 Mar 17
Because of John and his team my wife and I were able to travel back to the states, get married and have a Green Card without any headaches. John’s efforts were amazing and it shows because my wife and I didn’t have to go to the Green card interview. We had a strong enough case to receive the Green card in the mail. If you’re seeking a Lawyer that will be impartial, he’s your guy.
T M
T M
19:18 23 Feb 17
Me & husband went through immigration process which thankfully was made easy with the help and services of Marc Tyler Inc. Our direct contact was John which i want to personally say Thank You ! The service provided was efficient, fast, affordable prompt answers in a timely fashion. I would recommend Marc Tyler Inc to anyone who need immigration done fast, easy, friendly & with no hidden charges.
Aleksandra Stoycheva
Aleksandra Stoycheva
15:27 26 Jan 17
I could not have asked for better service. I will definitely be coming back to get the green card process done. The fees are extremely reasonable and they stick with their clients the entire way. I had so many questions during this process, and each one of them were answered very quickly and with out most professionalism. This firm is a pleasure to work with and I highly recommend them to anyone.
bryan mowrey
bryan mowrey
06:41 25 Nov 16
Marc and John Dorer worked on our case to file for AOS after our L1A was approved.Marc and John are professionals and extremely reasonable-priced. The reason they are able to cut the price is because they don't spend time consulting you or guiding you and will never get on call.All communications are email only, so if you know precisely what you want they will do all the paper-work, follow the trail and get the job done. If you are confused and need advice and consulting, they may not be the right lawyers.But since we were doing our AOS, it worked out perfectly well and they did their job extremely professionally.Would recommend them every time to get the work done.
hardik parikh
hardik parikh
01:58 08 Feb 17
At first I thought I could have very well gone through the green card application process on my own and saved all lawyer fees. Its funny how some lawyers can charge in excess of 2K for this. However at Taylor and Associates the price seemed more reasonable and felt it made sense to go with one at that price. There were some doubts that arose in our mind which they cleared in a timely manner and seemed very knowledgeable in this area. Its for moments like these when having a professional around helps. While we can get busy with our lives and with laws constantly changing, I would definitely recommend them - a small price to pay for peace of mind.
Callistus Pereira
Callistus Pereira
17:51 06 Jun 17
I am US citizen. We hired Marc's firm for my wife's Green Card process, We are extremely happy with their services.They are one of the best service providers in the country. Price is very affordable. John is awesome. He responded to our queries on time with very useful information. We highly recommend this firm to anybody looking for affordable and the best immigration services. it was an awesome experience working with this team.
Narsimha M
Narsimha M
13:57 04 Aug 17
Mark and team went above all my expectations of an 'online' service agency I went in with very low expectations to match the low cost of the service and was amazed that the experience was no different than going through an expensive attorney. They were very prompt on responses, very patient and also very knowledgeable on every facet of the application (including a follow up checklist). I would highly recommend them considering the low cost they charge and the high risk we take by doing this ourselves
First Dhalsite
First Dhalsite
22:27 01 Sep 17
USVISANOW streamlined the paperwork which saved us so much time. This also reduced the stress involved in filling out the paperwork. They also are very understanding and respond very quickly to questions and emails. Jackline is now a US citizen which took less than 5 months. Thank you Mr. Taylor and your team. From Brian and Jacky.
Jackline Osero
Jackline Osero
17:32 12 Sep 17
The best law agency I have ever worked with. Very responsive, experienced. I trusted my green process to them and it was done perfectly without and issues in minimum possible period. Thank You Very much Marc, John and others!!!
Hrach Gyulzadyan
Hrach Gyulzadyan
16:38 30 Sep 17
My husband and I worked with John Dorer from Marc Taylor's office, and his services exceeded our expectations. He was very knowledgeable, responsive, and our Green Card process and interview from start to finish went smoothly. Thank you so much, John, for your dedication to our case and all your help. I would highly recommend USAVISANOW to all!
Sophia Nguyen
Sophia Nguyen
17:26 09 Oct 17
Marc and John helped me apply and get my green card. They are very specific about needed documents and other details. Also, they are very responsive when you have a question. I know I emailed them several times just to ask questions that I could have found answers online myself. They are very patient and professional. If you want to get great services with reasonable fees contact them!
Amin Bagheri
Amin Bagheri
11:54 12 Oct 17
Used the services of this office for Green Card through AOS and was mainly in contact with John Dorer. I was unsure about their services at first, considering the unusually affordable cost but was pleasantly surprised by their prompt responses to all our questions and their timely preparing and handling of our documents! Will be using their services again when filing for removal of condition! Definitely recommended!
Lisa Lorentzon
Lisa Lorentzon
22:56 10 Dec 17

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