Purpose:
Form I-693 is used to report results of a medical examination to U.S. Citizenship and Immigration Services (USCIS). The examination is required to establish that you are not inadmissible to the United States on public health grounds. This is one of the requirements when you file for Adjustment of Status in USCIS.
To find a designated civil surgeon in your area, you can call the USCIS National Customer Service Center (NCSC) at 1-800-375-5283 and follow the instructions in the automated menu. Service is available in English and Spanish. A list of the designated civil surgeons in your area can also be generated by going to this link: https://egov.uscis.gov/crisgwi/go?action=offices.type&OfficeLocator.office_type=CIV
Note: There is no filing fee for this form.
The civil surgeon is required to give you the completed Form I-693 in a sealed envelope. Do not accept the form from the civil surgeon if it is not in a sealed envelope. USCIS will return the form to you if it is not in a sealed envelope or if the envelope has been opened or altered. Submit Form I-693 in the sealed envelope to USCIS.
My experience in Maryland Civil Surgeons:
August 2, 2013
My husband and I looked through the affiliated civil surgeons of USCIS online and we saw a bunch of them with their clinic information. We opted to go to the nearest one. The first surgeon that we called was not around at that time as no one was answering. We called the second civil surgeon we chose from the list and we provided them information such as: Form- 3025 Vaccination Documentation Sheet information provided by St. Lukes Medical, Manila and its end result stated: Vaccine History Incomplete (Applicant may be eligible for blanket waiver because vaccination not medically appropriate). The only vaccine unchecked was Rotavirus (this is only applicable to babies). The medical receptionist told us that we will still undergo physical exam and needs to have some blood work to check if I am still immune with the vaccines and this would cost us more or less $350.
We thought it was absurd. Thinking they could take advantage and make money out of this immigration medical process. We called another one and this time, they clearly told us that there’s no need to undergo medical exam and just print out 3 copies of Form I-693, passport for identity verification and Form 3025 St. Lukes Vaccination Documentation Sheet. The cost would only be for $60.
According to http://www.uscis.gov/files/form/i-693instr.pdf:
If you were admitted as a:
a. K-1 fiancé(e) or a K-2 child of a K-1 fiancé(e); or as a
b. K-3 spouse of a U.S. citizen or a K-4 child of a K-3 spouse of a U.S. citizen; and
c. You received a medical examination prior to admission, then:
(1) You are not required to have another medical examination as long as your Form I-485 is filed within one year of your overseas medical examination, and the medical examination did not reveal a Class A medical condition, or if you did have a Class A medical condition, you received a waiver of inadmissibility and have complied with the terms and conditions on the waiver.
(2) Even if a new medical examination is not required, you must still show proof that you complied with the vaccination requirements. If the vaccination record (DS 3025) was not properly completed and included as part of the original overseas medical examination report, you will have to have the vaccination report completed by a designated civil surgeon. In this case, you are required to submit the vaccination record and page 1 of Form I-693.
August 7, 2013 – 2:30PM
We went to the clinic and told them about acquiring the Form I-693. They asked for my required documents. When the nurse saw my Form I-3025 they noticed that I was only given 1 shot of TDP and MMR and we are suppose to have 2 shots, one as a booster. So for us to complete the vaccination record for Adjustment of Status, I have 2 options:
1. Get the vaccines ($130) or;
2. Blood tests to determine if you still have the antibodies from the vaccines administered ($100)
Plus $125 physical exam and $60 for processing the forms. This was the most upsetting things I heard from them. My husband was so upset that he agreed with the payment and just want to get it over with. When we arrived home, I called another surgeon out of my curiosity, if they really charge you for acquiring Form I-693. To our dismay, we received the same feedback as other civil surgeons did. To those I have researched with regard to this Form not being charged anything, it’s either they had the complete vaccines or they were just lucky enough to found a doctor that wasn’t too greedy.
**Update of my medical:
It infuriates me to know that I got overcharged by this vicious medical facilities. I went back 2 days after with my husband and told them that we will just get the blood works result and call it a day and wants a refund of the things that were not given to me. We just found out that their physical exams entail the blood works and we were not clearly informed about this the first time we visited the clinic. It was like being locked down and not given a choice to withdraw. Anyhow, one of their staff, who was way nicer than the one who handled my records asked if I was given a tetanus shot, I said no and explained to them again that I already had my complete medical and physical exams in the Philippines ( I so wanted to point fingers to the one who forcefully advised me that I need to undergo another physical exam but I don’t want to make a scene, so I just kept quiet about it). She refunded us back the cost of the shot and advised us that we should explain to the medical receptionist that we only need my vaccine record transcribed to Form I-693 according to USCIS and doesn’t need a physical exam. To those who are in need of this form, take note of this please. Don’t let the medical facilities fool you with their greediness.
I received my Form I-693 in a sealed envelope a few days after.
***Important: DO NOT OPEN the sealed envelope as that will be considered INVALID by USCIS.
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