Forms

Form I-693

Also called I-693, Report of Immigration Medical Examination and Vaccination Record, immigration medical exam.

Form I-693, Report of Immigration Medical Examination and Vaccination Record, is the sealed report a USCIS-designated civil surgeon completes to show that an adjustment of status applicant is not inadmissible on health-related grounds. It belongs to the Form I-485 route alone: an investor going through a consulate is examined by a panel physician instead.

What it decides

Since 2 December 2024 an applicant who owes a Form I-693, or only part of one such as the vaccination record, must file it with the Form I-485, and USCIS may reject the I-485 if it is missing. Validity turns on the civil surgeon's signature date. A form signed on or after 1 November 2023 is evidence for the whole period the application it accompanies is pending and no longer, so a withdrawal or a denial means paying for a fresh examination before filing again. A form signed before that date keeps evidentiary value for two years from the signature. Even within those limits an officer may request an updated form if there is reason to believe the applicant's condition has changed. USCIS charges $0 for the form on Form G-1055, but the civil surgeon sets the examination fee and it varies by surgeon. Because an EB-5 adjustment cannot be filed online, the sealed envelope travels in the paper package; only applicants on the routes USCIS has opened to online filing open the envelope and upload the contents.

Governed by USCIS Policy Manual, 8 USCIS-PM B.4(C)(4), Evidence, Validity, USCIS Discretion, and Burden of Proof, current as of 5 August 2026, for both validity rules and for officer discretion; USCIS Form I-693 page, last updated 24 July 2026, for the requirement to file with Form I-485 and for the sealed envelope; INA 212(a)(1), 8 U.S.C. 1182(a)(1), for the health-related grounds; Form G-1055, edition 05/29/26, for the $0 fee. The Policy Manual chapter does not state the 2 December 2024 filing requirement, which comes from the form page, and the form page states no dollar figure at all, only a pointer to the fee schedule.

Where this is explained properly

Pages here that go into form i-693 rather than mentioning it.

Related terms

Adjustment of statusAdjustment of status is the process under 8 U.S.C. 1255 by which someone already in the United States becomes a permanent resident without leaving, on Form I-485, instead of collecting an immigrant visa at a consulate abroad. An EB-5 investor who adjusts is granted conditional permanent residence for two years, the same status a consular applicant receives on admission.
Form I-485Form I-485, Application to Register Permanent Residence or Adjust Status, is the application by which someone already inside the United States becomes a permanent resident without going abroad for a consular interview; an EB-5 investor who files it receives the same two year conditional residence a consular applicant gets on admission.
Consular processingConsular processing is the route to permanent residence through a US embassy or consulate abroad, on Form DS-260 and an interview, rather than by adjusting status inside the United States. It is the only route for an investor who stays outside the country, and it is open by choice to one already inside.
Form DS-260Form DS-260, Electronic Application for Immigrant Visa and Alien Registration, is the Department of State application an EB-5 applicant files when taking the consular route, the counterpart to Form I-485 for someone who will collect an immigrant visa abroad rather than adjust status inside the United States.
Form G-1055Form G-1055 is the USCIS fee schedule, the single document listing the fee currently in effect for every USCIS form, and for EB-5 it is the figure USCIS will actually accept, because the EB-5 amounts printed in 8 CFR 106.2 are stayed and are rejected on filing.

Checked against primary sources on 10 August 2026. Back to the glossary