Report of Immigration Medical Examination and Vaccination Record — Medical exam & vaccination record. Current USCIS filing fee, the online-vs-paper difference, and the other forms usually filed with it.
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I-693 is the sealed medical examination report. It has no USCIS filing fee — the civil surgeon sets their own charge — and it is evidence for an adjustment case rather than a filing in its own right.
I-693 carries no USCIS filing fee of its own; the forms it is filed with carry theirs. Confirm your own list against the official form instructions before you file.
A rejected filing comes back with the fee — but you lose the months you already waited, and priority dates, status gaps and work-permit gaps do not pause while you refile. A denial is worse: the case was accepted and adjudicated, so USCIS keeps the fee. Since 10 July 2026 a signature defect on a paper filing can be denied outright, with no chance to correct it. FormGuard checks a completed I-693 against the rejection reasons USCIS actually applies, before you mail it — $39 against the $0 you are about to spend.
Upload your completed I-693 Add up a full package See a sample reportFree, no sign-up, about a minute. Your file is analyzed and never stored. Fees on this page come from the official USCIS G-1055 schedule, edition 10/07/26.
Records the immigration medical examination and vaccination history that most adjustment-of-status applicants must submit to show they are not inadmissible on health-related grounds.
The applicant completes Parts 1 to 4. A USCIS-designated civil surgeon completes Parts 5 to 10 after examining them. Parts 5 to 10 are not for the applicant to fill in.
I-693 costs the same either way — $0. Online filing still gives you a receipt immediately and removes the mailing-address risk entirely, which is the more common source of trouble.
Official USCIS page for I-693 → · Where do I file it?
How much is the I-693 filing fee in 2026?
The USCIS filing fee for Form I-693 is $0, whether you file online or on paper. That is the figure on the current G-1055 fee schedule, edition 10/07/26. It covers the USCIS filing fee only — not attorney fees, premium processing, or any fees collected by the Department of State.
Does the I-693 fee include biometrics?
Yes. Since the USCIS fee rule that took effect on April 1, 2024, there is no separate biometric services fee for Form I-693 — biometrics is included in the filing fee shown above. (A separate $30 biometrics fee still applies to a small number of request types, such as Temporary Protected Status filings.)
Is the I-693 filing fee refundable if USCIS rejects or denies my form?
These are two different outcomes. If USCIS rejects your filing, the case was never accepted — USCIS returns the package and the filing fee, but you lose the months you already waited and have to start again. If USCIS denies your case, it was accepted and adjudicated, and the filing fee is not refunded. Filing it correctly the first time is what protects both the fee and the timeline.
Form I-693 overview — who files it, common mistakes, and how to avoid a rejection · I-693 pre-filing error checklist · Add I-693 to the full fee calculator