Instructions For Form I-693 - Instructions For Report Of Medical Examination And Vaccination Record Page 8


(2) Even if a new medical examination is not required, you still must show proof that you complied with the
vaccination requirements. If the vaccination record was not properly completed and included as part of the
original 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.
5. What if I am an asylee derivative applying for adjustment of status and already had a medical examination
If you were admitted to the United States as an asylee derivative, you generally do not need to repeat, at the time you
submit Form I-485, the entire medical examination you had overseas, provided that:
A. The panel physician found no class A condition during your overseas examination; and
B. You are applying for adjustment of status within one year of becoming eligible to file.
You must, however, comply with the vaccination requirement and submit Part 9. Vaccination Record and Parts 1.,
2., 3., 4., and 6. of Form I-693 with your Form I-485.
6. May any doctor perform the required medical examination?
Only a doctor who was designated by USCIS as a civil surgeon may perform the medical examination. USCIS will
not accept a Form I-693 completed by a doctor who is not a currently designated civil surgeon.
7. How do I know if a doctor is a designated civil surgeon?
Doctors found through the USCIS website at
or through the USCIS National Customer Service Center
are generally current in their designation as civil surgeons. Applicants who are unsure should ask doctors to confirm
their status as a civil surgeon.
8. Who pays for the medical examination?
You, the applicant, are responsible for paying all costs of the medical examination, including the cost of any follow-up
tests or treatment that is required. Make payments directly to the civil surgeon or other health care provider.
9. What are the health-related grounds of inadmissibility?
U.S. immigration law divides the health-related grounds of inadmissibility into the following four general categories:
A. Communicable diseases of public health significance;
B. Lack of proof of having received required vaccinations;
C. Physical or mental disorders with associated harmful behavior or a history of associated harmful behavior; and
D. Drug abuse or addiction.
See INA section 212(a)(1)(A). HHS regulations classify these and other medical conditions into class A or B
conditions. Class A conditions result in inadmissibility while class B conditions do not. See 42 CFR 34.2(d) - (e).
Medical Evaluations
1. Communicable Diseases of Public Health Significance
The civil surgeon is required to perform specific tests for tuberculosis, syphilis, and gonorrhea. The medical
examination also requires the civil surgeon to evaluate for other sexually transmitted diseases and Hansen’s disease
If you have a communicable disease of public health significance, the civil surgeon will advise you on how to obtain
treatment. USCIS will inform you of whether you also need to apply for a waiver of inadmissibility. To learn more
about this waiver, visit the USCIS website at .
Form I-693 Instructions 10/19/17 N
Page 8 of 12


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