Is the I-693 Report of Medical Examination and Vaccination Record really required?

USCIS FORMS are updated periodically so make sure you download the correct form version AND read the instructions carefully.

There are a few things to consider, and you should ask yourself:

1. Are your vaccinations complete in your DS-3025? You probably don’t need an I-693 if your vaccinations are complete. Just send in your DS-3025. (See image below)

• Review your DS-3025.
• Read the list of vaccinations required by U.S. Law.

2. Are you eligible for a blanket waiver? You probably don’t need an I-693 if you’re eligible for a blanket waiver. Just send in your DS-3025. (See image below)

3. Are you adjusting your status within a year of your overseas Medical Exam? Your overseas K1 Medical Exam is good for a year from the time you took it. You don’t need to undergo a FULL Medical Exam.  This was stated in the Form I-693 Instructions, page 5. (See image below)

4. Were you able to find a Designated Civil Surgeon that is willing to just charge you for a transcription fee for your vaccinations from DS-3025 to I-693? If yes, then go for it. Contact your Civil Surgeon and have him transfer the results of your DS-3025 to an I-693. Transcription Fees may vary per Civil Surgeon.

5. Is the Civil Surgeon requiring your to take another full medical exam which costs hundreds of dollars? Again, you are not required to do another full medical exam if you’re still within 1 year from the time you took your overseas Medical Exam. Print the I-693 Instructions out and bring it to your Civil Surgeon. If the Civil Surgeon still pushes the Medical Exam, it’s ultimately you and your spouse’s choice. Would you pay and have peace of mind knowing that you’ve completed the I-693 requirement? Or just send in the DS-3025 as is.

Incomplete Vaccination / Blanket Waiver | © 2014, USCIS.gov, MrsPresson.com Knowledgebase

FORM I-693 Instructions | © 2014, USCIS.gov, MrsPresson.com Knowledgebase

*Note: A lot of people who have adjusted their status from within a year of their overseas medical exam and just sent in their DS-3025 were successful with their AOS. This is entirely you and your spouse’s choice. No one can guarantee if you will get an RFE or not.

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As for the Official USCIS I-485 Adjustment of Status Instructions (Page 4, Initial Evidences #7 C):

7. Medical Examination

C. Fiancé(e)s: If you are a K-1 fiancé(e) or K-2 dependent who had a medical examination within the past year as required for the nonimmigrant fiancé(e) visa, you only need to submit a vaccination supplement, not the entire medical report. You may include the vaccination supplement with your Form I-485.

Reading from that instruction alone, it says “not the entire medical report” which means the “entire medical report” is the Form I-693.

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Also Read:

• What is USCIS Form I-693?
• How much does a DS-3025 to I-693 Transcription from a Civil Surgeon cost?
• How long is the DS-3025 / Medical Examination valid?