Medical Exam Information

Instructions for the Medical Exam

If your medical exam was not submitted with the initial adjustment of status package, you will receive a yellow (sometimes purple or magenta too) notice in the mail stating that a completed and signed form I-693 wasn’t submitted with your application. It looks like this:

Deficiency Notice

Don’t panic! There’s not a problem.  This yellow notice is completely normal and expected. It is not required that the immigration medical be submitted with the initial filing and it can be hand-delivered at the time of the interview.

Sometime between receiving thus notice and the notice for the date for your interview, please schedule your medical exam. Here are the steps:

  1. Find a USCIS-approved doctor. Visit this page, enter your ZIP code, and you will see a list of approved doctors for the medical appointment. Insurance is generally NOT accepted (you can ask when you schedule the exam). Please note that USCIS will NOT accept exam from a doctor who is not on the list.
  2. Schedule an appointment and what to bring. Once you have a doctor’s appointment scheduled, you need to bring the following:
    • Government-issued photo identification, such as a valid passport or driver’s license.
    • Your vaccination or immunization record (such as DT, DTP, DTaP, Td, Tdap, OPV, IPV, MMR, Hib, hepatitis A, hepatitis B, varicella, pneumococcal influenza, rotavirus and meningococcal disease), if you have it. If you don’t have immunization records, that’s fine– you will need to get the immunizations during the appointment. If your records are in a language other than English you will need to have it translated or you’ll need to receive all the shots. If you believe that you have been immunized but do not have the records, the doctor should be able to do blood tests that can check for antibodies (immunity) against certain diseases. Additional fees may apply.
    • Payment (usually between $500-600). Costs for the medical exams can vary significantly (we’ve heard reports of fees between $250 and $1500!) so you may want to call around and check fees before booking an appointment.
    • Most doctor’s offices will provide the Form I-693, Report of Medical Examination and Vaccination Record. However, if your doctor’s office requests that you print out the form and bring it to your exam appointment, it is available online here.
  3. Go to the exam at the scheduled time. The doctor will test for communicable diseases such as tuberculosis and syphilis. The tuberculosis test is now a blood test. The doctor will also check your records to see if you need any vaccinations. After the exam, the doctor will complete Form I-693 and seal the form in an envelope for you to submit to USCIS. Make sure you get a copy of the completed Form I-693 for your personal records before the doctor seals the envelope.
  4. Bring the sealed envelope from the doctor to your interview. USCIS will not accept the form if the envelope has been opened or altered.

That’s it. You can find more information about the vaccination requirements here. And if you still have questions feel free to reach out to us.