How long is the I-693 valid?

Under the rule effective November 1, 2023, a Form I-693 signed by a civil surgeon on or after November 1, 2023, is valid only while the associated I-485 application is pending. If the I-485 is withdrawn or denied, the I-693 becomes invalid, and a new medical exam is required for any subsequent I-485 filing. Additionally, as of December 2, 2024, Form I-693 must be submitted concurrently with the I-485. Starting July 3, 2025, USCIS will accept only the 01/20/25 edition of Form I-693.

How much does the I-693 medical exam cost?

Costs vary by region and provider, typically ranging from $200 to $500. This generally covers the exam and basic blood work. Vaccinations, if needed, cost an additional $50–$200 per vaccine. Some insurance plans may cover vaccinations but not the exam fee itself. It is advisable to confirm pricing and accepted payment methods when scheduling your appointment.

Is the COVID-19 vaccine still required?

No. As of January 20, 2025, USCIS removed the COVID-19 vaccine from the list of required immunizations for the immigration medical exam. Applicants are no longer required to provide proof of COVID-19 vaccination, and civil surgeons will not require it during the examination. This change applies to all new and pending I-485 applications.

What happens if my TB test is positive?

If the TB blood test (IGRA) is positive, the civil surgeon will order a chest X-ray. If the X-ray shows no signs of active tuberculosis, you can generally proceed with completing the I-693. If the X-ray is abnormal, further sputum testing and treatment may be required. For Chinese applicants who received the BCG vaccine, the IGRA blood test is more accurate than the traditional tuberculin skin test (TST/PPD), as IGRA is not affected by prior BCG vaccination. Request that your civil surgeon use the IGRA test.

What should I bring to the medical exam?

You should bring: (1) a valid passport or government-issued ID; (2) Form I-693 with Part 1 pre-completed; (3) your vaccination record booklet (Chinese applicants: 预防接种证); (4) any prior medical records or X-rays (if you have a history of TB or related treatment); (5) a list of current prescription medications; and (6) glasses or contact lenses (if applicable). Having complete vaccination records can help avoid unnecessary revaccinations and additional costs.

How do I find a designated civil surgeon?

USCIS provides an online Civil Surgeon Locator tool (https://www.uscis.gov/tools/find-a-civil-surgeon) where you can search for designated civil surgeons by ZIP code. Only USCIS-designated civil surgeons are authorized to perform the immigration medical exam and sign Form I-693. Regular family physicians or emergency room doctors are not qualified. It is recommended to choose a doctor with extensive immigration medical exam experience to ensure the form is completed accurately.

The Peng Law

I-693移民体检

I-693 Immigration Medical Exam

I-693表格（Report of Immigration Medical Examination and Vaccination…

Overview

概述

I-693表格（Report of Immigration Medical Examination and Vaccination Record）是移民体检报告，所有申请I-485身份调整的绿卡申请人都必须提交。体检必须由USCIS指定的民间外科医生（Civil Surgeon）完成，体检内容包括身体检查、血液检测（结核病、梅毒等）、疫苗接种记录审核和精神健康评估。根据2023年11月1日生效的新规定，I-693的有效期与所提交的I-485申请绑定——即I-693仅在其所附的I-485申请待审期间有效。如果I-485被撤回或拒绝，再次提交I-485时需要重新体检。自2024年12月2日起，I-693必须与I-485同时提交（不能后补）。自2025年1月20日起，COVID-19疫苗不再是移民体检的必需疫苗。

Eligibility

什么时候需要I-693体检

提交I-485身份调整申请时必须同时提交I-693（绿卡申请人）

通过领事处理获得移民签证的申请人需在指定的海外体检医院完成体检（使用不同表格）

K-1未婚夫/妻签证持有人在美国境内调整身份时需要I-693

难民在入境一年后申请I-485时需要I-693

庇护获批者申请绿卡时需要I-693

此前提交的I-485被拒或撤回后重新申请时，需要重新体检（2023年11月新规）

Application Process

申请流程

查找指定体检医生

在USCIS官网的Civil Surgeon Locator工具中按邮编查找附近的指定体检医生。只有USCIS指定的Civil Surgeon才有资格进行I-693体检。

准备体检材料

携带以下材料：有效身份证件（护照）、I-693表格（Part 1由申请人预先填写）、完整的疫苗接种记录（中国申请人需带预防接种证或疫苗本）、既往病历（如有相关病史）。

进行身体检查

医生将进行全面体检，包括：视力检查、身高体重、血压等生命体征、皮肤检查、心肺听诊、腹部检查、四肢和神经系统检查，以及精神状态评估。

血液检测和实验室检查

必需的检测项目包括：TB血液检测（IGRA，如QuantiFERON或T-SPOT）适用于2岁及以上申请人；梅毒血清学检测适用于15岁及以上申请人；淋病检测适用于18-24岁申请人。如TB检测阳性，需做胸部X光。

疫苗接种审核和补种

医生审核疫苗记录，确认是否符合ACIP推荐的免疫接种时间表。不足的疫苗可在体检当天补种。必需疫苗包括：MMR（麻疹-腮腺炎-风疹）、Tdap、水痘、脊髓灰质炎（IPV）、甲肝、乙肝、流感（季节性）等。

医生完成并密封I-693

体检医生填写I-693表格的医学部分并签字。表格装入密封信封交给申请人。申请人不要拆封，随I-485一起提交给USCIS。

Timeline Reference

时间线参考

阶段	预计时间
预约体检	1-2周（视医生排期）
体检当天	1-2小时
实验室结果	3-7个工作日
I-693表格完成	体检后1-2周
I-693有效期	与所附I-485申请绑定

Frequently Asked Questions

常见问题

根据2023年11月1日生效的新规定，由Civil Surgeon在2023年11月1日或之后签署的I-693表格，其有效期与所提交的I-485申请绑定。只要该I-485申请仍在审理中（pending），I-693就有效。但如果I-485被撤回或拒绝，该I-693即失效，重新提交I-485时需要进行新的体检。此外，自2024年12月2日起，I-693必须与I-485同时提交。2025年7月3日起，USCIS仅接受2025年1月20日版本的I-693表格。