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 is conducting unannounced site visits to H-1B workers' home offices in 2026. Employees should know their rights and how to respond appropriately if an officer arrives.
USCIS is reportedly moving toward a mandatory electronic filing system, which would require all petitioners to submit forms online rather than by paper. This shift could significantly impact EB-3 applicants and their sponsors.
A new USCIS rule on signing immigration forms takes effect July 10, 2026. Applicants must follow updated signature requirements to avoid rejection or denial of their petitions.