Form I-693 has to be filed for applicants to be current on select vaccines and medical records.

This page contains step-by-step Form I-693 instructions for  marriage based green card.

  • Who is filing Form I-693: Green Card applicant
  • Filing Fee for Form I-693: $0
    • However, the physician will charge you a fee for it, which may vary
    • Double check to make sure this is the correct filing fee, as this can change any time

This form can be completed up to 60 days prior to filing the green card application. Alternately, it can be submitted even after the original packet has been sent out.

We recommend completing Form I-693 up to 30 days prior to your application submission, and including this with the rest of your forms.

USCIS form I-693 Instructions Marriage based Green Card

Form I-693 Instructions

  1. You must visit a USCIS designated Civil Surgeon only.
  2. Make sure the civil surgeon provides Form I-693 to you in a sealed envelope
    • Prior to sealing the envelope, you will be required to sign the form
    • Ensure all your information on the form is correct
    • Ask whether you can have a photo copy of the completed form before they give you the sealed copy
  3. Health Insurance may cover some cost of the physical
    • Some tests and vaccines such as X-Rays Td/Tdap etc. may be covered by your Health Insurance, so remember to check with the civil surgeon’s office
This is Green Card Applicant’s Information
  • 1. Your Full Name
    • Write down your name as it appears in your passport, or
    • If you’ve taken or are planning on taking your spouse’s last name, use that instead
  • 2. Physical Adddress
    • Enter the address you reside at
  • 3a – 3d. Self explanatory
  • 3e. Alien Registration Number
    • Leave blank if you don’t have one
      • Quite common you won’t have one
      • If you’re a student, who’s been issued an EAD card for OPT before, write ‘none’
  • 3f. USCIS Online Account Number
    • Leave blank if you don’t have one (common choice)
  • 1a. Select this box, if the Green Card applicant or U.S. citizen has filled this application (common choice)
  • 1b. Select this box, if an interpreter has filled this application
    • Provide language the interpreter used to communicate with you
  • 2. Select this box, if an interpreter has filled this application
    • Provide the full name of the interpreter
  • 3 – 5. Provide the Green Card applicant’s information
  • 6.  DO NOT sign and date the form until instructed to do so by the civil surgeon
  • This section should only be filled if you used an interpreter to fill your form. If not, leave this section blank.
  • This section should only be filled if anyone else besides the Green Card applicant or his/her (U.S. citizen) spouse has filled this form. If not, leave this section blank.
  • Parts 5 to 10 will be completed by the Civil Surgeon
  • Do NOT pre-fill these sections
  • This section should only be filled if the information provided in sections above needed additional space. If not, leave this section blank.
  • If you’re using this section, make sure you:
    • Fill out 1a, 1b, 1c
    • Fill 2, if applicable
    • Do no repeat the information provided in the sections above
    • If you need additional space, make copies of this section 9, and repeat steps 1, 2, and 3 for every copy.

Form I-693 Instructions FAQs

Per USCIS, Form I-693 is used to report results of a medical examination to USCIS. The examination is required to establish that an applicant is not inadmissible to the United States on public health grounds.

Form I-693 is a report of your medical examination and vaccination records.

Yes, these Form I-693 instructions are limited to marriage based green card when both spouses are physically present in the U.S.

If you’re looking for Form I-693 instructions for a different category, visit our green card journey page.

In this case the Green Card applicant has to file Form I-693.

Detailed step-by-step instructions can be found in Form I-693 Instructions section above.

That concludes the Form I-693 Instructions. If you have any thoughts, questions, or clarifications on Form I-693 Instructions , feel free to ask and/or discuss them in the appropriate category within Marriage based Green Card discussions.
Congratulations! This concludes all the required forms that you need to file for your marriage based green card. Next up are the optional forms.

Legal Disclaimer: We are not affiliated with any U.S. Government Agency. We are not Immigration Attorneys and no content on this website should be construed as legal advice. ©2022 GREENCARDEZ, LLC

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