If you are applying for certain U.S. immigration benefits, you may be told that you need an immigration medical exam I-693. This is not the same as a routine annual physical.
The examination follows federal requirements and must be performed by a physician authorized to complete the immigration examination for the applicable process.
Millennium Medical Center and Spa lists Immigration Physical I-693 among its medical services for patients in Falls Church and the surrounding DC metro area.
What Is Form I-693?
Form I-693 is the Report of Immigration Medical Examination and Vaccination Record used by U.S. Citizenship and Immigration Services for applicable adjustment-of-status cases.
A designated civil surgeon records the required examination findings and vaccination information on the form.
The civil surgeon conducts the medical examination according to current federal requirements. The physician does not make the final decision about whether an immigration application will be approved.
Immigration eligibility decisions remain with the appropriate federal immigration authorities.
What Should You Bring to the Appointment?
Preparing your documents can make the USCIS medical exam easier to complete.
Depending on current instructions and the clinic’s requirements, applicants may need:
- Government-issued photo identification
- Vaccination records
- Relevant medical records
- Information about previous treatment for applicable conditions
- Current medication information
- Any required immigration documentation
- Appropriate payment or insurance information if applicable
Bring written vaccination documentation rather than relying only on memory.
Records issued outside the United States may also need appropriate English translations.
Because federal form editions and requirements can change, applicants should verify the current requirements before their appointment.
What Happens During the Immigration Physical?
An immigration physical involves a medical history and physical examination performed according to current federal technical instructions.
The civil surgeon may review:
- Medical history
- Vaccination records
- Relevant physical findings
- Required infectious-disease screening
- Mental-health and substance-use information when required by current instructions
- Other health information specified by the federal examination process
The examination is not designed to provide a complete assessment of every possible health concern.
Applicants who need unrelated healthcare should discuss those needs separately with an appropriate medical professional.
What Tests May Be Required?
Immigration medical exam requirements can include specific screening tests based on current federal guidance, age, medical history, and other criteria.
Testing requirements have changed over time, so older blog posts, immigration forums, or advice from previous applicants may no longer be accurate.
The civil surgeon determines which examinations and tests apply under the current technical instructions.
If additional evaluation or treatment is required before the form can be completed, the applicant should follow the civil surgeon’s instructions.
What Happens With Vaccination Records?
Vaccination review is a major component of the I-693 process.
The civil surgeon reviews available written records and determines whether the applicant meets the vaccination requirements applicable to their age and circumstances under current federal instructions.
Some applicants may need an additional vaccine dose at the examination. In certain situations, laboratory evidence of immunity may be acceptable for specified diseases.
Not every applicant requires every vaccine.
Age, vaccination history, immunity, medical contraindications, and current federal rules can affect what is required.
What Happens After the Medical Examination?
After the required medical examination, testing, vaccination review, and any necessary follow-up have been completed, the civil surgeon completes the applicable portions of Form I-693.
Applicants generally receive the completed form according to current USCIS procedures.
Do not alter documentation prepared for immigration submission.
Because policies governing Form I-693 editions, signatures, submission, and validity can change, follow the current instructions from the civil surgeon and USCIS rather than relying on old information.
Frequently Asked Questions
Can Any Doctor Complete Form I-693?
No. For adjustment-of-status medical examinations performed in the United States, the examination generally must be completed by a USCIS-designated civil surgeon or another physician covered by an applicable designation.
Do I Need Every Vaccine Before My Appointment?
Not necessarily. Requirements depend on factors such as age, documented vaccination history, immunity, contraindications, and current federal rules. Bring all available written vaccination records so the civil surgeon can review them.
Can I Use a Previous I-693 Forever?
No. Federal policies governing the validity and use of Form I-693 can change. Applicants should check the current USCIS instructions for the immigration benefit they are filing rather than assuming an older form remains valid.
Is an I-693 Exam the Same as an Annual Physical?
No. The immigration examination has specific federal requirements and documentation. It does not replace routine preventive care or evaluation of unrelated symptoms.
Does Passing the Medical Exam Guarantee Immigration Approval?
No. The medical examination is one component of an immigration application. The civil surgeon documents medical findings but does not decide whether an applicant receives the immigration benefit.
Take the Next Step
If you need an immigration medical examination, contact Millennium Medical Center and Spa to ask about its Immigration Physical I-693 service, current appointment requirements, documents to bring, and applicable fees.
Because USCIS and CDC requirements may change, confirm current instructions when scheduling rather than relying on older checklists.
This section provides general information about the medical examination process and is not immigration or legal advice.