Form I-693 template
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Form I-693, Report of Immigration Medical Examination and Vaccination Record
- Country USA
- Language English
- Department U.S. Citizenship and Immigration Services
Report of Immigration Medical Examination and Vaccination Record
If you are applying for adjustment status to become a lawful permanent resident, use this form to establish that you are not inadmissible to the United States on public health grounds.
Fill out Form I-693, Medical Examination for Immigrant Visa Applicants, accurately and completely, following the instructions provided. Ensure all required sections are signed by appropriate medical professionals and health departments.
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What happens if I am not able to complete all required vaccinations?
If you are unable to complete all required vaccinations, you may still be eligible for a waiver based on medical or other appropriate reasons. However, you must provide documentation of your inability to complete the series and provide evidence of compliance with any available alternative vaccine or revaccination schedule.
What is the civil surgeon responsible for?
The civil surgeon is responsible for conducting a medical examination and obtaining vaccine records to report to USCIS.
What happens if the civil surgeon is unable to administer a vaccine?
If the civil surgeon is unable to administer a vaccine, they can provide the vaccine themselves or refer you to another healthcare provider who can administer it.
What happens if I am unable to submit all required documents?
If you are unable to submit all required documents, you may still be eligible for a waiver based on medical or other appropriate reasons. However, you must provide documentation of your inability to submit the missing document(s) and provide evidence of compliance with any available alternative vaccine or revaccination schedule.
Can the Form I-693 be filed with any civil surgeon?
No, the Form I-693 must be filed with an authorized civil surgeon designated by DHS.
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