U.S. Citizenship and Immigration Services (USCIS) announced on April 29, 2008 that it
has revised Form I-693, Report of Medical Examination and Vaccination Record. The revision
was necessitated by changes to the Tuberculosis (TB) Component of the Centers for Disease
Control and Prevention’s Technical Instructions for Civil Surgeons.

The revised form (edition date 04/02/08) must be used for any medical examination completed
on or after May 1, 2008. Previous editions of the Form I-693 may not be used on or after that
date.

The medical examination Form I-693 provides USCIS results of a medical examination for
applicants filing for adjustment of status to become permanent residents. The examination is
required to ensure that an applicant is not inadmissible to the United States on public health
grounds.

Additionally, the current vaccination supplement will not be accepted for any vaccination
assessment completed on or after May 1, 2008. An updated vaccination supplement has been
included in part 2 of the revised form.