What Is the Form I-693 Edition Update?
Form I-693, Report of Medical Examination and Vaccination Record, is the official USCIS form completed by a designated Civil Surgeon to document the results of your immigration medical exam. USCIS periodically releases updated editions of this form to reflect changes in federal health policy, ACIP vaccine recommendations, and administrative requirements.
Each new edition supersedes all prior editions. USCIS will not accept an older edition of Form I-693, regardless of when the exam was performed. This means that if a new edition is released between the date of your exam and the date you submit your application, your Civil Surgeon may need to reissue the form on the current edition.
Understanding what an edition update means — and how to verify you have the correct version — is essential for avoiding unnecessary delays in your green card application.
What Changed in the Latest Edition
Recent edition updates to Form I-693 have included changes in the following areas:
Updated vaccine schedule fields
New rows and checkboxes reflecting the current ACIP-recommended vaccine schedule, including updated COVID-19 vaccine documentation requirements.
Revised Civil Surgeon instructions
Clarified guidance on documenting vaccination history, medical waivers, and findings related to communicable diseases of public health significance.
Updated inadmissibility category language
Revised wording in the mental health and substance use sections to align with current DSM criteria and USCIS policy guidance.
Form field reorganization
Some sections have been reordered or relabeled to improve clarity and reduce documentation errors by Civil Surgeons.
How to Verify You Have the Current Edition
Verifying the edition of Form I-693 takes less than 30 seconds. Follow these steps:
Quick Check: Check the edition date on the bottom-left corner of Form I-693 — it must match the current USCIS-required edition.
Locate the edition date
Look at the bottom-left corner of any page of Form I-693. You will see a date in the format MM/DD/YY — this is the edition date.
Visit uscis.gov/i-693
Go to the official USCIS page for Form I-693 and note the edition date listed next to the form download link.
Compare the two dates
If the edition date on your form matches the date on uscis.gov, you have the current edition. If they differ, download the current version.
When in doubt, re-download
It costs nothing to download a fresh copy from uscis.gov. Never rely on a saved PDF that may be months or years old.
What Happens If You Submit an Outdated Form
Submitting an outdated edition of Form I-693 is a serious mistake that can significantly delay your green card application. Here's what typically happens:
Form rejected at intake
USCIS may reject the form outright and return it without processing, requiring you to start over.
Request for Evidence (RFE) issued
USCIS may issue an RFE requiring you to submit a new Form I-693 on the current edition within a specified deadline.
Application processing delayed
Any rejection or RFE adds weeks or months to your green card timeline while you schedule a new exam.
Additional exam costs
You will need to pay for a new immigration medical exam, including any required lab tests and vaccines.
Warning: USCIS does not grandfather in older editions. Even if your Civil Surgeon completed the exam on an edition that was current at the time, USCIS may reject it if a newer edition has since been released and the form has not yet been submitted.
Where to Download the Current Form I-693
There is only one authoritative source for the current edition of Form I-693:
Official Source: uscis.gov/i-693
Visit uscis.gov/i-693 to download the current edition of Form I-693 and its instructions. This is the only source you should trust. Do not use forms from third-party websites, law firm portals, or saved PDFs that may be outdated.
Note that as an applicant, you do not need to download or fill out Form I-693 yourself — the Civil Surgeon completes the form. However, understanding how to verify the edition date lets you confirm your Civil Surgeon is using the current version.
How Our Clinic Ensures You Always Get the Current Edition
At ImmigrationMedicalExams.com, we have been performing USCIS immigration medical exams exclusively since 2007. Staying current with USCIS form editions is a core part of our practice.
Schedule With Confidence
When you schedule your immigration medical exam with us, you can be confident that your Form I-693 will be completed on the current USCIS-approved edition — every time.
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Medical & Legal Disclaimer: The information on this page is provided for general educational purposes only and does not constitute medical or legal advice. USCIS form editions, policies, and requirements may change without notice. Always consult a USCIS-designated Civil Surgeon and a qualified immigration attorney for guidance specific to your individual case.