Adjustment of Status Medical Exam Guide

Many adjustment of status cases are delayed by avoidable medical exam problems. The immigration medical exam must be completed by a USCIS-authorized civil surgeon using current form requirements.

What to Bring

Bring identification, vaccination history, prior medical records, and any requested lab results. Missing immunization records can require additional visits.

Common I-693 Mistakes

• Using an outdated form version.
• Submitting a sealed envelope that was opened.
• Missing signatures or dates.
• Waiting too long and allowing exam validity issues.

Timing the Exam

The best timing depends on filing strategy and anticipated adjudication timeline. Coordinate medical submission with your broader case plan.

Case Preparation Tips

• Confirm the doctor is a designated civil surgeon.
• Review vaccine requirements before the appointment.
• Keep an unsealed copy for your records when available.
• Follow filing instructions exactly for sealed documents.

A properly prepared medical exam package can prevent unnecessary requests for evidence and keep the case moving.