Bringing Form I-693 to the Interview

If you have not already submitted Form I-693 to USCIS, bring it to your interview in the original sealed envelope. Do not open the envelope before the interview — the USCIS officer will open it at the interview.

If you already submitted Form I-693 with your Form I-485 filing, USCIS will have it on file. You do not need to bring another copy unless USCIS specifically requests one.

What the USCIS Officer Reviews

The USCIS officer will review Form I-693 to determine:

• Whether the civil surgeon is USCIS-designated
• Whether the form is complete and properly signed
• Whether the form is within its validity period (not expired)
• Whether there are any Class A findings (medical grounds of inadmissibility)
• Whether all required vaccinations are documented

If There Are No Medical Grounds of Inadmissibility

If Form I-693 shows no Class A findings and all required vaccinations are documented, the medical exam component of your case is complete. The officer will proceed with the rest of the interview.

A clean Form I-693 is one of the most straightforward components of the green card interview — most applicants have no medical grounds of inadmissibility.

If There Are Medical Findings

If Form I-693 shows a Class A finding, the officer will address this during the interview. Depending on the finding, the officer may:

• Request additional documentation or medical records
• Issue a Request for Evidence (RFE) for a medical waiver (Form I-601)
• Refer the case for further review
• Deny the application if the finding is a ground of inadmissibility and no waiver is available or has been granted

What If Form I-693 Is Expired at the Interview?

If Form I-693 has expired by the time of your interview, the officer cannot accept it. You will need to undergo a new immigration medical exam before your case can be adjudicated. The officer may reschedule your interview or issue an RFE requesting a new Form I-693.