Immigration Medical Letter Template: Your Guide to I-693 & Green Card Documentation
Introduction: The I-693 Requirement
The immigration medical exam is a mandatory step for green card applicants. The Immigration Medical Letter, formalized as Form I-693, ensures applicants meet U.S. public health standards. This guide clarifies the process and importance of accurate documentation.
Why the Immigration Medical Letter is Essential
Form I-693 serves vital purposes:
- Legal Mandate: Proves the applicant is free of inadmissible health conditions (INA Section 212(a)(1)).
- Avoids Delays: Accurate submission prevents Requests for Evidence (RFEs) and rejections.
- Public Health: Prevents the spread of communicable diseases.
- Vaccination Verification: Ensures compliance with CDC requirements.
Key Components of Form I-693
The form captures critical health data:
- Applicant Info: Identity and application details.
- Civil Surgeon Info: Credentials of the examiner.
- Communicable Diseases: Results for TB, Syphilis, Gonorrhea, Hansen's Disease.
- Disorders/Drug Abuse: Evaluation for harmful behavior or addiction.
- Vaccinations: Detailed record of immunizations.
- Certification: Signatures of the surgeon and applicant.
Illustrative Template Example
[Civil Surgeon's Letterhead]
[Date]
U.S. Citizenship and Immigration Services (USCIS)
Subject: Immigration Medical Examination Report for [Applicant Name], A-Number: [Number]
Dear Sir/Madam,
This report confirms the civil surgeon examination of [Applicant Name], DOB [Date], for adjustment of status. The exam followed USCIS and CDC Technical Instructions.
Findings Summary:
1. Communicable Diseases:
* Tuberculosis (TB): [Negative/Interferon-Gamma Release Assay Result]
* Syphilis: [Negative/Treated]
* Gonorrhea: [Negative/Treated]
* Hansen's Disease: [No evidence]
2. Physical/Mental Disorders:
* [No Class A or Class B conditions found associated with harmful behavior.]
3. Drug Abuse/Addiction:
* [No evidence of current drug abuse or addiction.]
4. Vaccinations:
* See attached Vaccination Record (Form I-693, Part 6). All age-appropriate vaccines [administered/verified].
Conclusion:
[Applicant Name] has no Class A medical conditions rendering them inadmissible. Details are in the sealed Form I-693.
Sincerely,
[Civil Surgeon Signature]
[License Number]
[Clinic Seal]Automating Immigration Medicals with HealOS
HealOS agents streamline this complex documentation process for civil surgeons:
- Clinical Documentation Agent: Automates drafting of the I-693 report, integrating lab results and notes.
- Regulatory Compliance Agent: Verifies adherence to the latest USCIS/CDC guidelines to prevent errors.
- EHR Interoperability Agent: Syncs external lab results directly into the exam record.
Automated Workflow Diagram(Mermaid)
graph TD
A[Applicant Schedules Exam] --> B[Applicant Data Ingested by HealOS Patient Data Agent];
B --> C[Civil Surgeon Exam & Labs];
C --> D[HealOS EHR Agent Integrates Lab Results];
D --> E[HealOS Clinical Doc Agent Drafts I-693];
E --> F[HealOS Compliance Agent Checks Against CDC Guidelines];
F --> G[Civil Surgeon Signs & Seals];
G --> H[Applicant Submits to USCIS];Frequently Asked Questions (FAQs)
Q: What is Form I-693?
The Report of Immigration Medical Examination and Vaccination Record, required by USCIS to establish that an applicant is not inadmissible on health grounds.
Q: Who needs to complete Form I-693?
Most applicants for adjustment of status (green card) need to submit this form, completed by a recognized civil surgeon.
Q: What does the exam involve?
A physical exam, mental status eval, review of history, screenings for communicable diseases (TB, syphilis, gonorrhea), and vaccination review.
Q: Who is a civil surgeon?
A doctor designated by USCIS to conduct these specific immigration exams. You must use an authorized civil surgeon.
Q: What documents should I bring to the exam?
Govt-issued photo ID, vaccination records, list of medications, relevant medical records, and a copy of Form I-693.
Q: How long is Form I-693 valid?
Generally 2 years from the civil surgeon's signature. It must be submitted to USCIS within 60 days of being signed.
Q: What occurs if I have a Class A medical condition?
Class A conditions (e.g., active TB) make you inadmissible. You may need treatment or a waiver (Form I-601) to proceed.
Q: Can I submit Form I-693 with my I-485?
Yes, USCIS now generally requires concurrent submission to avoid processing delays.
Q: What if my vaccination records are incomplete?
The civil surgeon will administer necessary vaccines or provide a plan to get them according to CDC guidelines.
Q: How do HealOS agents help?
They automate clinical documentation, ensuring accuracy in the I-693 report, and monitor regulatory compliance for civil surgeons.
Streamline Civil Surgeon Operations
Reduce administrative burden and ensure compliance in immigration exams with HealOS AI agents.
Example Letter Template
