Form i-485, Application to Register Permanent Residence or Adjust Status

www.uscis.gov/i-864

.  For more information about the 

Form I-864W, visit 

www.uscis.gov/i-864w

.  For more information on how receiving public benefits may impact how 

USCIS determines if you are likely to become a public charge, visit 

www.uscis.gov

.

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Form I-485 Instructions   03/29/21    

Page 13 of 43

10. Report of Medical Examination and Vaccination Record (Form I-693)

Form I-485 applicants for adjustment of status are required to have a medical examination to show that they are free 

from health conditions that would make them inadmissible.  This does not apply to registry applicants and individuals 

born under diplomatic immunity in the United States.  If you are filing Form I-485 under the nonimmigrant fiancé(e), 

asylee, or refugee category, see the Form I-693, Report of Medical Examination and Vaccination Record, Instructions 

for more information on whether you need to submit the full Form I-693 or only certain parts because you already had 

a medical examination overseas.

Only a USCIS designated civil surgeon can perform this medical examination in the United States.  The civil surgeon 

must document the results of your medical examination on Form I-693.  For more information on the medical 

examination, see the Form I-693 Instructions. 

You are 

NOT

 required to submit Form I-693 at the time you file your adjustment application, but may do so if you 

wish.  Because of the time-limited validity of Form I-693, you may choose to submit your Form I-693 after you file 

your Form I-485.  You may also submit Form I-693 in person at an interview in a USCIS field office, if an interview is 

required.  By waiting to submit Form I-693, you may avoid having to repeat the immigration medical examination.

For more information about Form I-693 requirements, visit