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if youre applying for a green card in the United States you have to listen to this as part of the process you have to submit a medical checkup its mandatory for marriage cases family-based cases of other types employment Green Card Lottery whatever way youve got your green card you have to submit this medical checkup form i-693 for it you sign up with a civil surgeon its a special Doctor Whos registered to take your medical check off in your background and they give you a sealed envelope with the results once its done so you can give that to the immigration department the problem is these doctors make mistakes on the on the forms all the time I would say at least two out of ten times they forget to sign it fill out the pages on it and all sorts of errors and say you have problems that you dont have all these kind of issues so its mandatory that if you want to schedule time with one of these doctors that you tell the receptionist in addition to the sealed envelope you also want