Instructions For Report Of Medical Examination And Vaccination Record (Form I-693) Page 7

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Frequently Asked Questions
1. Who must submit Form I-693?
Most applicants filing for adjustment of status to become a lawful permanent resident must submit Form I-693
completed by a designated civil surgeon. Certain other applicants may also be required to submit Form I-693
completed by a civil surgeon.
2. What if I am a refugee and already had a medical examination overseas?
If you are now applying for adjustment of status under INA section 209 one year after your first admission, you only
need to repeat the entire examination if the panel physician found a class A medical condition during your overseas
examination. If you need a new medical examination because of a class A medical condition, you also need to comply
with the vaccination requirements found in Form I-693.
Even if you do not need a complete medical examination, you still need to comply with the vaccination requirements.
This means you only need to submit Part 9. Vaccination Record and Parts 1., 2., 3., 4., and 6. of Form I-693.
Contact your state or local refugee health coordinator to find out whether a state or local health department can
complete the Part 9. of Form I-693. The health department must also complete Part 6. of the benefit request.
3. What if I am a K nonimmigrant visa holder and already had a medical examination overseas?
If you were admitted as a:
A. K-1 fiancé(e) or a K-2 child of a K-1 fiancé(e); or
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 you file your Form I-485 within one year
of an overseas medical examination; and
(a) The panel physician did not find a class A medical condition during your overseas examination; or
(b) The panel physician did find a class A medical condition, you received a waiver of inadmissibility, and
you have complied with the terms and conditions of 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 Part 9. Vaccination
Record completed by a designated civil surgeon. In this case, you must submit Parts 1., 2., 3., 4., 6., and 9.
of Form I-693.
4. What if I am a V nonimmigrant visa holder and already had a medical examination overseas?
If you were admitted to the United States or obtained status while in the United States as a:
A. V-1 spouse of a lawful permanent resident or are waiting for a V-1 visa; or
B. V-2 child of a V-1 spouse of a lawful permanent resident; or
C. V-3 child of a V-2 unmarried son or daughter of a V-1 spouse of a lawful permanent resident; and
D. You received a medical examination prior to admission or obtaining V status, then:
(1) You are not required to have another medical examination as long as you file your Form I-485 within one year
of an overseas examination, and:
(a) The panel physician did not find a class A medical condition; or
(b) The panel physician did find a class A medical condition, you received a waiver of inadmissibility, and
you have complied with the terms and conditions of the waiver.
Form I-693 Instructions 10/19/17 N
Page 7 of 12

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