Form I-693 for an Asylee Green Card Packet

If a full or partial Form I-693 is required, it must accompany Form I-485 or USCIS may reject the filing. Read the USCIS Form I-693 page and its current instructions before scheduling or submitting the examination. Normally mail the completed I-693 in its sealed envelope and do not open it.

If USCIS opened the I-693 in a rejected package, follow the current I-485 resubmission exception: include the original I-693 and supporting material in the original envelope together with a copy of the rejection notice. USCIS may update submission or form-edition guidance, so an older explanation may no longer match the filing requirements.

Use a civil surgeon designated through the USCIS process when the instructions require one. Ask the civil surgeon what records and vaccination information to bring to the appointment.

Organize identity information, vaccination records, prior medical records, and any other material the civil surgeon tells you to bring. The civil surgeon, not a software checklist, determines what is needed for the examination and completes the medical form.

Do not guess about a medical condition, vaccination record, or examination result. Ask the civil surgeon about medical questions and use the current USCIS instructions for questions about submitting Form I-693 with the adjustment packet.

A Form I-693 signed by the civil surgeon on or after November 1, 2023 generally keeps its evidentiary value while the associated benefit application is pending. If that application is denied or withdrawn, a new form is required for a later application that requires one. Forms signed by the civil surgeon before November 1, 2023 follow a separate two-year rule, and USCIS can request updated medical evidence.

Keep the sealed medical packet and any copies according to the civil surgeon's and USCIS's instructions. Do not open a sealed envelope if the instructions say it must remain sealed. Record questions for the civil surgeon or an immigration professional instead of guessing.

A principal asylee and a derivative applicant may have different I-485 packets and different evidence questions even when they attend medical appointments together. Review the current I-485 instructions for each applicant and ask the civil surgeon how the completed form will be returned for that person.

For a derivative's overseas examination, a new full examination may be avoided only when all three conditions below are met. Vaccination compliance and the relevant I-693 sections completed by a civil surgeon are still required. Ask USCIS or the civil surgeon whether this exception applies; do not calculate an eligibility date or diagnose a condition from this guide.

The medical form does not decide whether the applicant qualifies for asylum-based adjustment, and StatusShift cannot evaluate medical facts or give medical advice.

A form-preparation tool may help you track a supported packet, but it cannot perform a medical examination, evaluate medical facts, or replace USCIS instructions.

StatusShift is self-help software, not a law firm. It uses your answers to prepare supported forms; it does not provide legal advice or predict what USCIS will decide.