Preparing records before an immigration medical examination can reduce avoidable delays. If you need Form I-693 for an adjustment-of-status application, start by reviewing current USCIS instructions and arranging the examination with a USCIS-designated civil surgeon.

The medical appointment and the immigration application are related but separate processes. A completed examination does not guarantee application approval, and this guide does not determine which immigration requirements apply to you.

Confirm the appointment before collecting paperwork

Ask the office for the civil surgeon's name and confirm the current designation through USCIS. Explain whether this is your first immigration medical examination and whether you have previous records or specific instructions from USCIS.

Request the expected fee and a breakdown of what it includes. Laboratory tests, vaccines, or follow-up may have separate charges. Tell the office about a deadline, but allow for steps that cannot be completed until results or missing information are available.

Bring identification and health records

  • Acceptable identification as specified in the current instructions and by the office.
  • The current form or other paperwork the office asks you to bring.
  • Vaccination records, including available records from other countries.
  • Relevant medical reports, treatment history, and a list of current medicines.
  • Information about previous immigration medical examinations, if any.

Ask whether documents need translation or additional supporting information. Do not assume that an informal note or a photograph will meet every requirement. If records are unavailable, discuss the next step with the civil surgeon rather than inventing dates.

Let the civil surgeon determine the medical requirements

The examination includes a medical history review, required assessment, and applicable testing or vaccination review. Requirements can differ by age, history, and current instructions. Avoid purchasing a generic test package before confirming what is required for your examination.

Follow the office's instructions on which form sections to complete and when to sign. Do not use an outdated form simply because it was accepted for someone else.

Handle completed documents correctly

If you receive Form I-693 in a sealed envelope for USCIS, keep that envelope sealed. Request a separate copy for your personal records. Check the current submission instructions for your application and seek qualified immigration advice if the filing process is unclear.

A final check before the visit

Confirm the address, appointment time, documents, cost, and expected follow-up. Make a short list of questions so you understand what remains after the appointment.

Health Med's immigration medical exam page explains how to contact the Jamaica, Queens office. Use this checklist to prepare for the visit, not as a substitute for current USCIS requirements or individual medical advice.

Sources and further reading

  1. USCIS: Form I-693 instructions (PDF) (opens in a new tab)