You've completed your immigration medical exam -- now what? Understanding the steps that follow your exam is crucial for a smooth green card application process. Here's a detailed walkthrough of everything that happens after you leave the civil surgeon's office.

Step 1: The Civil Surgeon Reviews Your Results

After your first visit, where the physical exam and blood draw are performed, the civil surgeon waits for your lab results to come back. Once the results are available, the doctor carefully reviews everything including:

  • Blood test results for syphilis, gonorrhea, and tuberculosis
  • Physical examination findings
  • Mental health assessment
  • Vaccination compliance status

Step 2: Form I-693 Is Completed

The civil surgeon completes Form I-693 (Report of Medical Examination and Vaccination Record) based on the exam findings and lab results. This is the official USCIS medical form that accompanies your green card application. The doctor documents all findings, vaccination records, and any conditions identified during the exam.

Completion Timeline

Standard
4-7 Business Days

Standard processing time from your first visit to completed I-693 form

Express
2-3 Business Days

Priority processing for applicants with urgent filing deadlines

Step 3: The Sealed Packet

Once the I-693 form is complete, the civil surgeon places it in a sealed envelope. This sealed packet is what you will receive during your second visit. It is critical that you understand the following:

Do NOT open the sealed envelope. USCIS requires the I-693 to remain in its sealed envelope. If the seal is broken, USCIS may reject the form and you may need to repeat the entire exam at additional cost.

Step 4: Pick Up Your Sealed I-693

Your second visit to the civil surgeon's office is brief. During this appointment:

  • The doctor reviews the results with you and explains any findings
  • You receive the sealed I-693 envelope
  • You have the opportunity to ask any questions about your results
  • You receive any personal copies of documents for your records

Step 5: Submit With Your I-485 Application

The sealed I-693 form is submitted along with your Form I-485 (Application to Register Permanent Residence or Adjust Status). Here are important considerations for submission:

Use Trackable Shipping

Always send your application package using a trackable shipping method such as USPS Priority Mail, FedEx, or UPS. This allows you to confirm that USCIS received your package. Keep the tracking number until your case is fully resolved.

Validity Period

The I-693 form is valid for 2 years from the date the civil surgeon signs it. Make sure to submit your I-485 application within this window. If the form expires before submission, you'll need a new exam.

Understanding Medical Classifications

During the exam, the civil surgeon may identify health conditions that fall into two categories. Understanding these classifications can help alleviate any concerns:

Class A Conditions

Class A conditions are health issues that may make an applicant inadmissible to the United States. These include certain communicable diseases of public health significance and substance abuse disorders. If a Class A condition is identified, you may need:

  • Treatment for the condition before the I-693 can be completed
  • A waiver application (Form I-601) in some cases
  • Additional medical documentation

Your civil surgeon and immigration attorney can guide you through the waiver process if needed.

Class B Conditions

Class B conditions are health issues that do not prevent admissibility but may require follow-up care. These are conditions that the civil surgeon notes for USCIS awareness but do not block your green card application. Examples include:

  • Controlled chronic conditions (diabetes, hypertension)
  • Previous TB infection that has been treated
  • Other non-communicable health conditions

A Class B finding should not cause alarm -- it simply means USCIS is aware of the condition.

Keep Personal Copies of Everything

Before submitting your application package, make sure you have copies of all important documents:

  • Vaccination records: Keep a copy of any vaccination records provided or updated during the exam
  • Lab results: Request a copy of your blood test results for your personal health records
  • I-693 form: While the original must remain sealed, ask the civil surgeon for a personal copy
  • Receipts: Keep all payment receipts for your records and potential tax purposes

Baron Medical Group Makes the Process Simple

With over 15,000 immigration exams completed, Dr. Daesoon Leem and the Baron Medical Group team ensure your I-693 is completed accurately and efficiently. We provide clear guidance at every step so you know exactly what to expect.