All applicants filing for adjustment of status to that of a lawful permanent resident are required by USCIS to submit Form I-693 completed by a designated civil surgeon. Form I-693 is used to report results of the Immigration Medical Physical Examination to USCIS. The examination is required to establish that an applicant is in good state of Health and has no health risks, diseases or illnesses that would make him or her inadmissible to the United States on public health grounds.

You must file a Current USCIS Form I-693. Our Civil Surgeon is kept up to date with all new forms. After completion of the medical examination, the civil surgeon will give the applicant, the completed Form I-693 in a sealed envelope.

The Sealed Envelope is Opened only by USCIS officials.The Seal should Never be Broken by the Applicant , his or her lawyer or any other Individual. USCIS will return the form to you if it is not in a sealed envelope or if the envelope has been opened or altered. Our Civil Surgeon will give you an exact copy of the I 693 Form that is placed in the Sealed Envelope.

It is the applicant's responsibility to submit the Form I-693 to USCIS, not the civil surgeon's. Our office NEVER mails the application or submit it on behalf of the applicant.

The results of the medical examination are generally valid for only 12 months. Applicants should schedule the medical examination as close as possible to the time they file for adjustment of status, but provide sufficient time for the performance of laboratory testing or additional testing required under CDC's Technical Instructions. Our office recommends that you submit Form I 693 to USCIS as soon as you are handed the Sealed envelope containing your forms.