Yes! You can use AI to fill out Form I-693, Report of Immigration Medical Examination and Vaccination Record
Form I-693, Report of Immigration Medical Examination and Vaccination Record, is a U.S. Citizenship and Immigration Services (USCIS) document used to report the results of a medical examination to establish that an applicant is not inadmissible to the United States on public health grounds. The examination must be conducted by a civil surgeon designated by USCIS, who records the findings and vaccination history on this form, which is a critical step for many green card applicants. Today, this form can be filled out quickly and accurately using AI-powered services like Instafill.ai, which can also convert non-fillable PDF versions into interactive fillable forms.
I-693 is part of the
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Form specifications
| Form name: | Form I-693, Report of Immigration Medical Examination and Vaccination Record |
| Number of fields: | 446 |
| Number of pages: | 14 |
| Filled form examples: | Form I-693 Examples |
| Language: | English |
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How to Fill Out I-693 Online for Free in 2026
Are you looking to fill out a I-693 form online quickly and accurately? Instafill.ai offers the #1 AI-powered PDF filling software of 2026, allowing you to complete your I-693 form in just 37 seconds or less.
Follow these steps to fill out your I-693 form online using Instafill.ai:
- 1 Navigate to Instafill.ai and upload or select Form I-693 to begin.
- 2 Use the AI-powered interface to accurately fill in your personal details in Part 1, 'Information About You'.
- 3 Complete the Applicant's Statement and Contact Information in Part 2, but do not sign the form yet.
- 4 Print the partially completed form and take it to your appointment with a USCIS-designated civil surgeon.
- 5 The civil surgeon will conduct the examination and complete the remaining sections (Parts 5-10), including the medical findings and vaccination record.
- 6 Sign the form when instructed by the civil surgeon, who will then sign and place the completed form in a sealed envelope.
- 7 Securely save a digital copy of the completed form on the Instafill.ai platform for your personal records before submitting the sealed envelope to USCIS.
Our AI-powered system ensures each field is filled out correctly, reducing errors and saving you time.
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Frequently Asked Questions About Form I-693
Form I-693, Report of Immigration Medical Examination and Vaccination Record, is used to report the results of a medical examination to U.S. Citizenship and Immigration Services (USCIS). It helps USCIS determine if an applicant for an immigration benefit is inadmissible on public health grounds.
This form is required for most applicants seeking to adjust their status to become a lawful permanent resident (Green Card holder) within the United States. It must be completed by a USCIS-designated civil surgeon.
You must be examined by a physician specifically designated by USCIS as a civil surgeon. You can find an authorized civil surgeon near you by using the 'Find a Civil Surgeon' tool on the official USCIS website.
You, the applicant, are responsible for completing Part 1 with your personal information and Part 2 with your contact information. The rest of the form, from Part 5 onwards, must be completed by the civil surgeon.
Do not sign or date the form until the civil surgeon instructs you to do so during your medical appointment. You must sign it in the civil surgeon's presence.
You should bring a government-issued photo ID (like a passport or driver's license), your complete vaccination records, and a copy of Form I-693 with Part 1 already filled out.
Class A conditions are medical issues, such as certain communicable diseases, that make an applicant inadmissible to the U.S. Class B conditions are significant health problems that do not automatically make you inadmissible but may require follow-up treatment.
If you previously had an overseas medical exam (e.g., as a K visa holder or refugee), you may only need a vaccination assessment. You should check the box in Part 1, Item 4.A, and the civil surgeon will complete the required vaccination sections.
The civil surgeon will give you the completed form in a sealed envelope, which you must not open. You must submit this sealed envelope to USCIS, either with your main application or when they request it.
A Form I-693 signed by a civil surgeon is generally considered valid for two years from the date of the signature. It is best to submit it to USCIS as soon as possible after the exam.
Yes, services like Instafill.ai use AI to help you accurately auto-fill your personal information in Part 1 of the form. This saves time and helps prevent errors before you take the form to the civil surgeon.
Simply upload the Form I-693 PDF to the Instafill.ai platform. The AI will make the fields interactive, allowing you to easily type and fill your information for Part 1 before printing it for your medical exam.
If you have a flat, non-fillable PDF, you can use a service like Instafill.ai to convert it into an interactive, fillable form. This allows you to type your information directly onto the form for a clean, professional result.
You may use an interpreter for your exam, and they must complete and sign Part 3 of the form. The interpreter certifies their fluency and the accuracy of the interpretation provided during the examination.
Compliance I-693
Validation Checks by Instafill.ai
1
Applicant and Civil Surgeon Signature Date Consistency
This check ensures the applicant's signature date in Part 2 is the same as the 'Date of First Examination' in Part 6, and that the Civil Surgeon's signature date in Part 7 is on or after the 'Date of First Examination'. This is crucial for establishing a valid timeline for the medical examination. A mismatch could invalidate the form, suggesting the applicant signed it before or after the examination began, or that the surgeon signed off before the exam was complete.
2
A-Number Format and Consistency
This validation verifies that the Alien Registration Number (A-Number), if provided, follows the correct format (typically 7 to 9 digits) and is consistently entered across all pages of the form. The A-Number is a primary unique identifier for the applicant within the USCIS system. Inconsistent or malformed numbers can lead to processing delays or misattribution of the medical record to the wrong case file.
3
Age-Specific Syphilis Test Requirement
This check validates that the Serologic Test for Syphilis section (Part 8.B) is completed if the applicant's age, calculated from their 'Date of Birth' in Part 1, falls within the required range (currently 18 to 44 years old per the form). This ensures compliance with CDC and USCIS regulations for communicable disease screening. If the test is not performed for an age-eligible applicant, the form is incomplete and will be rejected.
4
Age-Specific Gonorrhea Test Requirement
This check validates that the Laboratory Test for Gonorrhea section (Part 8.C) is completed if the applicant's age, calculated from their 'Date of Birth' in Part 1, falls within the required range (currently 18 to 24 years old per the form). This is a mandatory screening based on public health guidelines. Failure to complete this section for an eligible applicant will result in an incomplete medical examination and rejection of the form.
5
TB IGRA Test and Chest X-Ray Logic
This validation enforces the rule that if the TB IGRA test result in Part 8.A is 'Positive', a chest X-ray is mandatory. The system must check that the 'Chest X-ray required' box is selected and that the subsequent chest X-ray details (dates, results) are provided. This logic is critical for following the required diagnostic pathway for tuberculosis. An incomplete pathway renders the TB assessment invalid.
6
IGRA Exception Explanation Mandate
This check ensures that if the 'Not Administered (IGRA exception)' box is checked in the TB screening section (Part 8.A.1), the corresponding 'Remarks' section (Part 8.A.7) is not empty. The civil surgeon must provide a valid reason for the exception per CDC guidelines. Without a documented explanation, the omission of a required test is a critical error and will lead to the form being returned for clarification.
7
Summary Findings and Worksheet Consistency
This validation cross-references the 'Summary of Overall Findings' in Part 6 with the detailed 'Civil Surgeon Worksheet' in Part 8. If 'Class A Conditions' or 'Class B Conditions' is checked in the summary, the system must confirm that at least one corresponding Class A or B condition is documented in Part 8. This ensures the summary accurately reflects the detailed findings and prevents internal contradictions.
8
Vaccination Record Row Completeness
This check verifies that every required vaccine row in the Vaccination Record (Part 10) has been addressed. For each vaccine, there must be an entry: either a date the vaccine was received, a date it was given by the civil surgeon, a reason for a blanket waiver (e.g., 'Not Age-Appropriate'), or a status in the 'Complete Series' column. An entirely blank row indicates an oversight by the civil surgeon and makes the vaccination assessment incomplete.
9
Abnormal Chest X-Ray Finding Specification
If the chest X-ray result in Part 8.A.3 is marked as 'Abnormal findings suggestive of TB', this validation ensures that at least one of the specific finding checkboxes below it (e.g., 'Cavitary lesion', 'Infiltrate or consolidation') is also selected. This provides necessary clinical detail for the reviewing officer to understand the nature of the abnormality. A generic 'Abnormal' finding without specifics is insufficient for adjudication.
10
Conditional Interpreter/Preparer Signature Requirement
This check ensures that if any information is entered into the Interpreter (Part 3) or Preparer (Part 4) sections, the corresponding signature and date fields within that same section must also be completed. These sections are optional, but if used, they must be fully certified. An uncertified preparer or interpreter invalidates their role in the form's completion, potentially raising questions about the applicant's understanding of the content.
11
Treatment Details for Positive Disease Findings
This validation confirms that if a Class A or Class B finding is marked for Syphilis, Gonorrhea, or Hansen's Disease, the corresponding 'Remarks' section must contain treatment information. The absence of treatment details for a diagnosed condition makes it impossible for USCIS to determine if the applicant is still considered inadmissible on health grounds. The form will be considered deficient if this information is missing.
12
Referral Evaluation Section Trigger
This check enforces the logic that if the civil surgeon completes the 'Required Referral' section (Part 8, Item 5), then the 'Referral Evaluation' section (Part 9) must be completed and signed by the specialist or health department. This ensures the referral loop is closed and the results of the specialty evaluation are included in the record. An open referral without a corresponding evaluation makes the medical examination incomplete.
13
Header Information Consistency Across Pages
This validation ensures the applicant's name and A-Number are present and consistent at the top of every page (from page 2 onwards). This is a critical document integrity check to ensure that all pages of the submitted form belong to the same applicant and that no pages have been mixed up. A mismatch could lead to a catastrophic data error and an incorrect medical assessment.
14
Date of Birth Validity Check
This check ensures the applicant's 'Date of Birth' in Part 1 is a valid, past date in the required mm/dd/yyyy format. It prevents impossible dates (e.g., future dates, February 30th) and serves as the basis for all age-dependent medical requirements on the form. An invalid date of birth makes it impossible to verify compliance with age-specific testing and vaccination schedules, rendering the form invalid.
Common Mistakes in Completing I-693
Applicants often sign and date Part 2 at home before their medical appointment, but the form requires the signature to be made in the presence of the civil surgeon. A premature signature certifies that the exam has already occurred, which is false, and will invalidate the entire Form I-693. This forces the applicant to schedule and pay for a new examination. To avoid this, do not sign the form until the civil surgeon's staff explicitly instructs you to do so during your appointment.
Civil surgeon offices or applicants may accidentally use an older version of Form I-693, as USCIS updates forms periodically. Submitting an outdated form will result in an automatic rejection or a Request for Evidence (RFE), causing significant delays and potentially requiring a new medical exam. Before your appointment, always verify you and the surgeon are using the current form edition listed on the official USCIS website.
Applicants may enter a nickname, an anglicized version of their name, or omit a middle name, creating a mismatch with their passport and other immigration filings. This discrepancy can cause identity verification issues and trigger an RFE. It is crucial to enter your full legal name exactly as it appears on your official government-issued documents in all name fields, including the headers on each page. Using a tool like Instafill.ai can ensure your name is populated consistently and correctly throughout the document.
Both applicants and civil surgeon staff can forget to fill in the applicant's name and A-Number at the top of every single page. This information is critical for keeping the 14-page document together and correctly associated with the applicant's file. If pages become separated and are missing this identifying information, it can cause major processing delays or lead to USCIS deeming the submission incomplete. AI-powered form fillers can automatically populate headers on every page to prevent this error.
The vaccination record is a frequent source of errors, such as the civil surgeon leaving rows blank, failing to mark a valid reason for a waiver (e.g., 'Not Age-Appropriate'), or not transcribing historical vaccine dates correctly. USCIS requires every vaccine row to be addressed. An incomplete or improperly documented vaccination chart is one of the most common reasons for an RFE, delaying case adjudication.
After the examination, the civil surgeon must place the completed Form I-693 into a sealed envelope and sign across the seal, which the applicant then submits to USCIS. Applicants sometimes open the envelope out of curiosity or to make a copy, which immediately invalidates the document. An opened or tampered envelope will be rejected by USCIS, requiring a new visit to the civil surgeon to have a new form issued and sealed.
The civil surgeon may sign Part 7 before all required lab results (like TB cultures) or follow-up examinations are completed and documented. The form is only valid if signed after the entire medical evaluation is finalized. Submitting a form signed prematurely can lead to it being rejected, as it doesn't reflect the applicant's complete medical status at the time of submission.
If an interpreter (Part 3) or a preparer (Part 4) assists in completing the form, their information must be fully provided, including their signature. Applicants often misunderstand this, and the person assisting them may not realize they need to complete their respective section. Omitting this required information can raise questions about the form's validity and potentially lead to an RFE.
Sometimes, the only available version of a form is a flat, non-fillable PDF, leading to illegible handwritten entries or formatting errors. This can cause data entry mistakes by USCIS personnel and processing delays. To prevent this, applicants should use a service like Instafill.ai, which can convert any flat PDF into an interactive, fillable form, ensuring all entries are clear, properly formatted, and legible.
In Part 7, the form specifies that health departments and military treatment facilities must place their official stamp or seal. This verification step is sometimes overlooked by the medical facility's staff. The absence of a required stamp or seal can cause USCIS to issue an RFE to verify the authenticity of the examination, delaying the application process. Applicants should be aware of this requirement and can gently remind the surgeon's office if applicable.
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