What Happens After I Submit Form I-693 to USCIS?
Quick Answer
After you submit Form I-693 to USCIS, it becomes part of your Form I-485 (adjustment of status) file. USCIS will review the medical findings as part of the adjudication process. If there are no medical grounds of inadmissibility, the exam results will be accepted and your case will proceed. If there is a Class A finding, USCIS will notify you.
Form I-693 Becomes Part of Your I-485 File
Once you submit Form I-693 to USCIS — either with your Form I-485 filing or at your USCIS interview — it becomes part of your adjustment of status file. USCIS will open the sealed envelope and review the civil surgeon's findings as part of the adjudication process.
You will not receive a separate confirmation that USCIS received Form I-693. It is tracked as part of your Form I-485 case.
USCIS Review of the Medical Findings
USCIS officers review Form I-693 to determine whether the applicant has any medical grounds of inadmissibility. If the civil surgeon found no Class A conditions, the medical exam results are accepted and the case proceeds to the next stage of adjudication.
If the civil surgeon found a Class A condition — a communicable disease, a mental disorder with harmful behavior, or a substance use disorder — USCIS will evaluate whether a waiver is available and whether the applicant has applied for one.
What an RFE for Form I-693 Means
USCIS may issue a Request for Evidence (RFE) related to Form I-693 if: the form is incomplete or contains errors, required vaccinations are missing, laboratory results are not included, or the form is approaching expiration.
An RFE is not a denial — it is a request for additional information. You must respond to the RFE within the deadline specified (typically 87 days). Work with your immigration attorney or the civil surgeon's office to respond promptly and completely.
The USCIS Interview
For most adjustment of status applicants, USCIS will schedule an interview after reviewing the Form I-485 and supporting documents, including Form I-693. At the interview, the USCIS officer may ask questions about your medical history if there are any issues noted on Form I-693.
If your Form I-693 was not submitted with the initial I-485 filing, you may be asked to bring it to the interview. Check the interview notice carefully for instructions.
After the Interview: Approval or Further Review
If the USCIS officer is satisfied with your Form I-693 and the rest of your application, they will approve your adjustment of status at the interview or shortly afterward. You will receive your green card in the mail.
If there are issues with Form I-693 — an expiring form, a Class A finding, or an incomplete vaccination record — the officer may request additional documentation or schedule a follow-up appointment. Follow all USCIS instructions promptly.
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