Instructions For Report Of Medical Examination And Vaccination Record (Form I-693) (Page 2 of 12) in pdf

NOTE: The civil surgeon will ask you to verify your identity. Bring a valid government-issued photo identification

to your appointment (for example, your unexpired passport or driver’s license). If you are under 14 years of age,

acceptable documents for proof of identity must show your name, date and place of birth, parents’ full names, and

any other identifying information about you. Acceptable documents include birth certificates (with a translation, if

necessary) or affidavits.

How Do I Find a Designated Civil Surgeon in My Area?

To find a designated civil surgeon in your area, call the USCIS National Customer Service Center at 1-800-375-5283.

Follow the instructions in the automated menu. The telephone service is available in English and Spanish. For TTY (deaf

or hard of hearing) call: 1-800-767-1833. A list of the designated civil surgeons in your area is also available at

(Select “TOOLS,” choose “Find a civil surgeon,” enter your ZIP Code, and click “Find civil surgeons.”)

General Instructions

USCIS provides forms free of charge through the USCIS website. In order to view, print, or fill out our forms, you should

use the latest version of Adobe Reader, which you can download for free at If you do not

have Internet access, you may call the USCIS National Customer Service Center at 1-800-375-5283 and ask that we mail

a form to you. For TTY (deaf or hard of hearing) call: 1-800-767-1833.

Signature. Each Form I-693 must be properly signed and filed. In general, USCIS will not accept a stamped or

typewritten name in place of a signature. If you are under 14 years of age, your parent or legal guardian may sign the

form on your behalf. A legal guardian may also sign for a mentally incompetent person.

There are special rules for blanket designated health departments or military physicians. Refer to these Instructions

for additional information on how blanket designated civil surgeons may sign the form. (See section entitled How Do

I, as a Civil Surgeon, Fill Out My Portion of This Form I-693?, subsection “Military physicians performing the

medical examination for members and veterans of the U.S. Armed Forces or U.S. Coast Guard and certain eligible

dependents”.)

Filing Fee. There is no filing fee for this form.

Evidence. At the time of filing, you must submit all evidence and supporting documentation listed in the Specific

Instructions section of these Instructions.

Copies. You should submit legible photocopies of documents requested, unless the Instructions specifically state that you

must submit an original document. USCIS may request an original document at the time of filing or at any time during

processing of an application, petition, or request. If USCIS requests an original document from you, it will be returned to

you after USCIS determines it no longer needs your original.

NOTE: If you submit original documents when not required or requested by USCIS, your original documents may be

immediately destroyed upon receipt.

Translations. If you submit a document with information in a foreign language, you must also submit a full English

translation. The translator must sign a certification that the English language translation is complete and accurate, and that

he or she is competent to translate from the foreign language into English. The certification must include the translator’s

signature, should contain the translator’s printed name and the date, and it may also contain the translator’s contact

information.

Type or print legibly in black ink.

Form I-693 Instructions 10/19/17 N

Page 2 of 12

Instructions For Report Of Medical Examination And Vaccination Record (Form I-693) Page 2