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This document provides instructions for aliens applying for adjustment of status regarding the necessary medical examination including conditions evaluated, testing for diseases, and follow-up requirements.
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How to fill out i-693

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How to fill out I-693

01
Obtain the I-693 form from the USCIS website or your local USCIS office.
02
Schedule a medical examination with a USCIS-approved physician.
03
Complete the medical examination as required by the physician.
04
The physician will fill out and sign Section 1 of the I-693 form based on your medical examination.
05
Review the completed I-693 form for accuracy and completeness.
06
Place the signed I-693 form in a sealed envelope as required by the USCIS guidelines.
07
Submit the sealed I-693 form with your immigration application or at the appropriate stage in your application process.

Who needs I-693?

01
Individuals applying for adjustment of status to permanent resident.
02
Certain nonimmigrant visa applicants who are required to undergo a medical examination.
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The cost of the I-693 medical exam varies depending on where you live and your specific needs. The exam fee typically ranges from $100 to $500, but may be more or less in some areas. It is important to keep in mind that any additional tests or services required will add to the overall cost.
All tests are performed in English, to assess the applicant's reading, writing and speaking English skills. While it may seem scary, the test is very manageable. ing to USCIS over 90% of applicants pass the naturalization exam.
You may be eligible for an exception to the English and civics naturalization requirements if you are unable to comply with these requirements because of a physical or developmental disability or a mental impairment. To request this exception, submit Form N-648, Medical Certification for Disability Exceptions.
In all cases, the applicant must demonstrate the ability to speak English at the time of the naturalization examination, unless the applicant meets one of the age and time as resident exemptions of English or qualifies for a medical waiver.
ALERT: Effective January 22, 2025, USCIS waives any and all requirements that applicants for adjustment of status to that of a lawful permanent resident present documentation on their Form I-693, Report of Immigration Medical Examination and Vaccination Record, that they received the COVID-19 vaccination.
The test has two parts: a civics test (U.S. history and government) and an English test. Find study resources for the test: 100 Civics Questions and Answers for the 2008 Test (with MP3 audio) 2008 Civics Practice Test.
During your naturalization interview, a USCIS officer will ask you questions about your application and background. Unless you qualify for an exemption, you will also take a naturalization test which is made up of two components, an English and civics test.

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I-693 is a form used by individuals applying for adjustment of status to report their medical examination results to the U.S. Citizenship and Immigration Services (USCIS).
Individuals applying for adjustment of status in the United States must file I-693 as part of their application process if they are required to submit a medical examination.
I-693 should be filled out by a designated civil surgeon after conducting a medical examination. The form must be completed according to the instructions provided by USCIS, including all necessary information and signatures.
The purpose of I-693 is to ensure that applicants for adjustment of status do not have any communicable diseases or health conditions that could pose a public health risk, and to assess the applicant's overall health status.
The I-693 form must report the applicant's medical history, results of the medical examination, immunizations received, and any other relevant health-related information as required by USCIS.
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