Medical exam (I-693) issues
very common87 days to respondUSCIS needs a valid or corrected Form I-693 medical examination report.
What they are asking for
- A complete and properly signed Form I-693
- Medical exam performed by a USCIS-designated civil surgeon
- Exam must be signed no more than 60 days before your I-485 filing date or any time after
- All required vaccinations documented or waiver request
What Answers It
- New or corrected Form I-693 in a sealed envelope from the civil surgeon
- Vaccination records showing all required immunizations
- Waiver request (if applicable) with supporting medical documentation
- Letter from civil surgeon explaining any corrections
Common Mistakes
- Opening the sealed I-693 envelope (USCIS may reject it)
- Using a doctor who is not a USCIS-designated civil surgeon
- Submitting an I-693 that the civil surgeon signed more than 60 days before you filed the I-485
- Forgetting to include vaccination records
- Not bringing immigration documents to the medical exam
Tips
- Schedule with a USCIS-designated civil surgeon only (check uscis.gov for list)
- Bring your vaccination records to the appointment to avoid delays
- Since December 2, 2024, the I-693 must be filed with the I-485, and it stays valid while that I-485 is pending
- Do NOT open the sealed envelope from the civil surgeon
- If you need a vaccination waiver, get documentation from your doctor explaining why
Cover Letter Template →Hide Template
[Your Name] [Your Address] [Date] USCIS [Service Center Address] RE: Response to Request for Evidence Receipt Number: [RECEIPT NUMBER] Applicant: [YOUR NAME] Form: I-485, Application to Register Permanent Residence Dear USCIS Officer, I am writing in response to the Request for Evidence (RFE) dated [RFE DATE] regarding my Form I-485 application. The RFE requests a valid Form I-693, Report of Medical Examination and Vaccination Record. Enclosed please find: 1. A sealed Form I-693 completed by [CIVIL SURGEON NAME], a USCIS-designated civil surgeon, dated [EXAM DATE]. 2. [Additional documents as applicable] I respectfully request that you continue processing my application. Please do not hesitate to contact me if you require any additional information. Sincerely, [Your Name] A# [YOUR A-NUMBER]