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I-693 Form Guide

If you are applying for an adjustment of status or a green card, you already know that successfully navigating USCIS paperwork is critical.

One of the most important documents in your application packet is Form I-693: Report of Immigration Medical Examination and Vaccination Record.

At Primary Care Centers of Texas in Katy, our designated civil surgeons, Dr. Cindy Jacob and Dr. Shervy Xavier, specialize in conducting comprehensive I-693 medical exams. We are here to ensure your form is filled out accurately, sealed properly, and ready for USCIS review.

I 693 form on desk PCCT

What is Form I-693?

Form I-693 is the official document used by U.S. Citizenship and Immigration Services (USCIS) to verify that an applicant does not have any health conditions that would make them inadmissible to the United States on public health grounds.

By law, you cannot complete this form yourself, and it cannot be filled out by your standard primary care doctor. It must be completed, signed, and sealed by a government-authorized I-693 civil surgeon.

What Does the I-693 Medical Exam Cover?

Your appointment at our Katy clinic is a comprehensive evaluation designed to complete every section of the I-693 form. The exam strictly follows CDC guidelines and includes:

  • Physical Examination: A general review of your physical and mental health history, including a physical exam by our civil surgeon.
  • Tuberculosis (TB) Testing: An IGRA blood test is required for all applicants aged two and older to screen for TB.
  • Syphilis & Gonorrhea Screening: Required blood and urine tests for applicants aged 15 and older.
  • Vaccination Review: A detailed assessment of your immunization history to ensure you meet all current USCIS vaccination requirements.
Doctor performing examination of patient PCCT
Sealed Envelope importance PCCT

The Strict "Sealed Envelope" Rule

The most critical step in the I-693 process happens at the very end. Once Dr. Jacob or Dr. Xavier completes your exam and your lab results are returned, they will sign the Form I-693 and place it inside a sealed envelope.

You must not open this envelope under any circumstances.

USCIS will automatically reject your medical exam and return your application if the seal is broken, tampered with, or altered. We will provide you with a separate, unsealed copy of your completed I-693 form for your personal records, ensuring you know exactly what is being submitted to the government.

Request an appointment

Complete the form below to contact a member of our staff and we will give you a call. Walk-ins welcome.

Proudly Serving Katy, Fulshear, and Surrounding Communities

Located conveniently on FM 1463, Primary Care Centers of Texas is proud to be a trusted healthcare partner for families throughout the Greater Katy area. Whether you live right here in Katy, are commuting from Fulshear, or reside in nearby neighborhoods like Cinco Ranch or Cross Creek Ranch, our clinic is easily accessible. We offer flexible scheduling and welcome walk-ins to ensure that students across Fort Bend, Harris, and Waller counties get the care they need without the hassle of a long commute.

Frequently Asked Questions

If a required screening, such as a TB test, comes back positive, it does not mean an automatic denial of your green card. Our civil surgeons will clearly explain your results and guide you through the mandatory CDC treatment protocols. Once treatment is successfully completed, we will finalize your I-693 form to reflect that you have met the health requirements.
USCIS validity rules can occasionally shift, but under current guidelines, an I-693 form properly signed by a civil surgeon after November 1, 2023, does not expire and retains its evidentiary value indefinitely. However, to avoid any potential processing hiccups, we highly recommend scheduling your exam close to the time you plan to file your adjustment of status application.
Do not worry if your vaccination records are incomplete. As a full-service medical clinic, Primary Care Centers of Texas can administer any missing, USCIS-required vaccines (such as MMR, Tdap, or COVID-19) directly in our office during your I-693 medical exam.

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Schedule Your I-693 Medical Exam Today

Don’t let missing medical requirements delay your green card application. Primary Care Centers of Texas provides physician-driven, patient-centered care with authorized civil surgeons to fit your schedule. Walk-ins are always welcome.
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