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Parviz Malakouti-Fitzgerald, Esq.

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Medical Exam (I-693) Instructions for Adjustment of Status

Updated: Sep 25, 2022

By Parviz Malakouti-Fitzgerald, Esq.

If you’re applying for adjustment of status, you likely need to obtain a medical examination. The medical examination must be by a USCIS approved physician. You can find one near you using this link. As of this writing (August, 2022), most physicians charge between $250-$350.

Here is what you need to know ahead of your exam:

  • You don’t have to bring anything with you to the examination besides a photo ID

  • Your physician should give you your I-693 Report of Medical Examination and Vaccination Record in a sealed envelope

  • Do not open the envelope or break the seal when you receive the envelope

In addition, you should be given a second copy of your I-693 medical examination for your review (or for the review of your attorney if you have one). This second copy is not sealed. Make sure to obtain this copy before you leave the physician’s office.

After the Appointment

After the appointment, you should have 1) a sealed copy of your I-693 and 2) a second copy of the results for your own records.

If you are a client of Malakouti Law, email a high quality scanned PDF copy of your unsealed examination results to with your name in the subject line. We will review the I-693 for any results that could lead to a ground of inadmissibility.

If you’re not a client of Malakouti Law, you can click here to book a consultation to discuss your case and possible representation.

Keep the sealed envelope with USCIS’s copy of the I-693 until you’ve checked with your attorney regarding what to do with it next. In order to maintain the condition of the sealed envelope, we recommend placing the unopened envelope into a second, larger envelope.

When to Submit the I-693

The I-693 will either be submitted to USCIS once an applicant receives a “notice of deficiency” from USCIS requesting the form or when the applicant arrives to an in person USCIS interview for cases which have an interview. Until then, rest easy

The information in this page could become outdated. The Law Office of Parviz Malakouti does not guarantee the accuracy of information presented nor assume responsibility for actions taken in reliance of this information. Each immigration case is particular and you should consult with a qualified, licensed immigration lawyer about your case before taking any steps. Attorney Advertising.

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