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Begin by filling out Part 1, 'Information About You.' Enter your name and Alien Registration Number (A-Number) at the top of each page. Ensure accuracy as this information will be verified by the civil surgeon.
Complete Part 2, 'Applicant’s Statement, Contact Information, Certification, and Signature.' Sign and date your application in the presence of the civil surgeon.
If you used an interpreter, have them fill out Part 3 with their contact information and signature.
Attend your medical examination appointment with all necessary documents including vaccination records. The civil surgeon will complete the remaining parts of the form.
After your examination, ensure that you receive Form I-693 in a sealed envelope from the civil surgeon before submitting it to USCIS.
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I-693 | Report of Immigration Medical Examination and
Jul 24, 2026 The following aliens applying for adjustment of status must submit a partial Form I-693 (Parts 1.-5., Part 7, and Part 10, Vaccination Record)Read more
Doctors as Migration Brokers in the Mandatory Medical
by S Aptekar 2018 Cited by 19 The outcome of the screening is the completion of form I-693. On this form, civil surgeons indicate whether they have detected Class A or Class B conditions.
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