If you’re applying for an EB1A or EB2-NIW green card, completing your USCIS medical exam (Form I-693) is a critical step in the process. This guide will walk you through the steps to ensure you’re fully prepared.

1. Wait for Notification

Before scheduling your medical exam, determine the right time:

• Schedule it after receiving a Request for Evidence (RFE).
• Complete it before your I-485 Adjustment of Status interview.
• Alternatively, proactively submit your medical exam results along with your I-485 application.

2. Find an Approved Doctor

Only USCIS-approved civil surgeons can perform the medical exam for Form I-693. Use the USCIS “Find a Doctor” tool to locate a qualified physician near you.

3. Schedule Your Appointment

Once you’ve identified an approved doctor:

• Call to book your appointment.
• Ask about the exam cost and the necessary documents to bring.

4. Gather Your Documents

Prepare these items before attending the exam:

• A government-issued ID (e.g., passport or driver’s license).
• Vaccination records to confirm you meet USCIS requirements.
• Relevant medical history or test results, if applicable.

5. Attend the Medical Exam

At your appointment:

• The doctor will conduct a physical examination.
• They’ll review your vaccination records.
• Additional tests like blood work or X-rays may be required.

6. Receive the Sealed Form I-693

After completing the medical exam, the doctor will provide you with Form I-693 in a sealed envelope. Do not open this envelope, as it must remain sealed for submission to USCIS.

7. Submit Form I-693

You can submit your medical exam results:

• With your initial I-485 application.
• In response to a Request for Evidence (RFE).
• At your Adjustment of Status interview.

By following these steps, you’ll ensure that this critical part of your green card process is completed smoothly and efficiently.

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