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Applicants Certification - Do not sign here until the civil surgeon tells you to do so. You must sign Form I-693 in the presence of the civil surgeon. If the applicant is under 14 years of age, a parent or guardian may sign Form I-693. If the applicant is 14 years of age or older, he or she must sign Form I-693.
After completing your immigration medical examination, the civil surgeon must give you, the applicant, the completed Form I-693 in a sealed envelope. Do not accept it if it is not in a sealed envelope. We will return the form to you if it is not in a sealed envelope, or if the envelope has been opened or altered.
What happens after sending I-693? USCIS will add your Form I-693 to the Adjustment of Status application and the officer will review it along with the other supporting documents. If you sent Form I-693 as response to RFE, your Form I-485 online status will be updated to Response to Request for Evidence is received.
The civil surgeon must give you the completed Form I-693 in a sealed envelope for you to submit to USCIS. Do not accept the form from the civil surgeon unless it is in a sealed envelope. USCIS will return your Form I-693 to you if it is not in a sealed envelope or if the envelope is opened or altered in any way.
Applicants will need to bring several items to their medical exam appointment, such as proof of identity, a list of current medications, any relevant medical records, and payment for the exam fee. In some cases, applicants may also be required to have chest x-rays taken at the time of the exam.
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Cost. While theres no charge for filing Form I-693, the applicant will need to pay for the medical exam itself. These rates can range anywhere from $100 to $500, but on average, applicants can expect to pay about $200.

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