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NOTE: You can apply for a waiver of the vaccination requirements without filing this form and without

paying a fee if:

A. You initially did not submit proof that you have received the required vaccinations, but you are now vaccinated; or

It is not medically appropriate for you to receive one or more of the required vaccinations. The physician will make

this certification according to the applicable regulations published by the Department of Health and Human Services

(HHS) and the technical instructions for physicians designated to perform the required medical examination. These

instructions are published by the Centers for Disease Control and Prevention (CDC). According to the technical

instructions, the phrase "not medically appropriate" covers the following situations:

(1) The vaccination is not recommended by the Advisory Committee for Immunization Practices for your age

group;

(2) The vaccination is medically inadvisable;

(3) There is an insufficient amount of time between doses for vaccines requiring a series of doses; or

(4) It is not the flu season (for the flu vaccine only).

Applicants Who Have a Physical or Mental Disorder With Associated Harmful Behavior - INA section

212(a)(1)(A)(iii)(I) or (II)

If the examining physician determines that you have a physical or mental disorder with associated harmful behavior,

or a past history of a physical or mental disorder with associated harmful behavior that is likely to recur, the medical

examination report completed by the designated physician will, at a minimum, contain the following information, as

required by HHS regulations at 42 CFR Part 34 and the technical instructions published by the CDC:

A. A complete medical history, including the details of any previous or current hospitalization, treatment or care;

B. The current findings, diagnosis and prognosis; and

C. Any other information necessary for USCIS to determine, in consultation with HHS, the terms and conditions that

should be imposed on the waiver, if it is granted.

4. Applicants Who Are Inadmissible Because of Substance or Drug Abuse or Substance or Drug Addiction - INA

section 212(a)(1)(A)(iv)

The designated physician will determine whether you are currently using, or have used in the past, any controlled

substance. The examining physician will make this determination during the required medical exam, according to the

applicable HHS regulations at 42 CFR Part 34 and the technical instructions published by the CDC.

If you are inadmissible under INA section 212(a)(1)(A)(iv) due to drug abuse or drug addiction, you may apply for a

waiver. After consulting with HHS, USCIS will exercise discretion to determine whether to grant a waiver. To be

eligible for a substance or drug abuse or addiction waiver, you must not be inadmissible on any other grounds that

cannot be waived.

NOTE: You are not inadmissible under INA section 212(a)(1)(A)(iv) if the designated physician determines that you

are in remission for previous drug use or abuse, based on the applicable HHS regulations and the technical instructions

published by the CDC.

A. If you engaged in the use of any controlled substance, and your use of this substance was illegal at the place

where it occurred, your admission to the examining physician may be sufficient to make you inadmissible on

criminal grounds under INA section 212(a)(2)(A)(i)(II) relating to any controlled substance violation (regardless

of whether your use of the controlled occurred in the United States or in another country).

B. The USCIS officer reviewing your primary benefit application (Form I-687, Application for Status as a

Temporary Resident Under Section 245A of the INA, Form I-698, Application to Adjust Status From Temporary

to Permanent Resident (Under Section 245A of the INA) and/or Form I-485, Application to Register Permanent

Residence or Adjust Status) will determine whether this admission to the designated physician makes you

inadmissible under INA section 212(a)(2)(A)(i)(II).

Form I-690 Instructions 12/23/2016 N

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Form I-690 Instructions - Application For Waiver Of Grounds Of Inadmissibility - Department Of Homeland Security Page 2

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