Form I-693: Medical Exam Requirements for Green Card Applicants in 2026
Form I-693 documents the required immigration medical exam and vaccination history for Green Card adjustment of status applications. Only USCIS-designated civil surgeons may complete and sign the form.
Form I-693, Report of Medical Examination and Vaccination Record, is a required document for individuals applying for a Green Card through adjustment of status inside the United States. It serves as official documentation of the immigration medical examination and vaccination history reviewed by U.S. Citizenship and Immigration Services.
Applicants must have the form completed exclusively by a USCIS-designated civil surgeon — a licensed physician authorized by USCIS to perform immigration medical exams. Using any other physician will result in rejection of the form.
For EB-3 applicants pursuing adjustment of status, Form I-693 is a standard and mandatory component of the Green Card application package. Ensuring the form is completed correctly and submitted within the required validity window is essential to avoid delays or requests for evidence.
USCIS finalized FY 2027 H-1B cap selections on March 31, 2026. Selected petitioners may file starting April 1 using the new Form I-129 edition. Overseas winners face a $100,000 fee under a Trump presidential proclamation.
USCIS may blacklist applicants who attempt to game the H1B lottery through passport renewal, employer changes, or wage level manipulation, according to an official I-797C notice.
USCIS completed the FY2027 H-1B lottery on March 31, 2026, using a new weighted wage-level selection process for the first time. Selected employers have 90 days (April 1–June 30) to file petitions, with employment eligible from October 1, 2026.