
Form I-693 (2017 2026)
Use the Form I 693 2017 template to simplify high-volume document management.
What Form I-693 is used for
Form I-693 is the Report of Immigration Medical Examination and Vaccination Record used in the U.S. immigration process to document an applicant’s medical examination and vaccination information. A designated civil surgeon completes and certifies the medical portions, while the applicant and case representatives coordinate the record for submission to USCIS. In a signNow workflow, the PDF can be uploaded, fields reviewed, participants assigned, and signatures collected electronically. The completed form and audit trail should then be retained and submitted according to current USCIS instructions.
Who works with Form I-693
Immigration applicants
Applicants use Form I-693 to provide the immigration medical examination and vaccination record required for an adjustment or other USCIS case. They review identifying information, coordinate with a designated civil surgeon, and keep the completed record with their filing materials.
Civil surgeons and counsel
Civil surgeons complete the examination-related portions of Form I-693 and certify the medical findings. Immigration attorneys and authorized representatives may coordinate routing, review completion status, and organize the signed record without replacing the physician’s professional responsibility.
Key features for completing Form I-693
Form I-693 workflows bring preparation, medical-signature routing, identity checks, and organized records together for immigration case coordination.
Form preparation
Upload the Form I-693 PDF, identify its fillable areas, and prepare applicant information without recreating the medical examination report from scratch.
Signer routing
Route the Form I-693 to the applicant, civil surgeon, or authorized representative with defined signing fields and recipient order.
Audit trail
Capture timestamps, signer actions, and document history alongside the completed Form I-693 for organized immigration case records.
Signer verification
Use SMS OTP or two-factor authentication when identity controls are appropriate for the applicant or civil surgeon workflow.
Secure records
Keep the completed Form I-693 and its audit documentation together, supporting consistent retrieval during case review or follow-up.
Mobile access
Access the signing workflow from a desktop browser or mobile device when applicants and medical professionals work from different locations.
Complete Form I-693 in five steps
Prepare Form I-693 in signNow, route it to the appropriate participants, and retain the completed record with supporting signing evidence.
Upload form:
Upload the Form I-693 PDF to signNow. Check fields:
Review detected fields and add missing signature fields. Assign recipients:
Assign applicant and civil surgeon recipients carefully. Send form:
Send the form using the selected signing order. Save records:
Store the completed form with its audit trail.
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Recommended Form I-693 workflow setup
Configure Form I-693 around controlled access, documented signer intent, auditability, and protected handling of immigration medical information.
| Setting | Recommendation |
|---|---|
| Authentication and user provisioning | Admin-controlled access with two-factor authentication |
| Signature type | Electronic signature with signer consent |
| Audit trail | Detailed signing history and completion evidence |
| Document retention | Secure storage with controlled record access |
| Encryption | TLS 1.2/1.3 and AES-256 protection |
How the Form I-693 audit trail works
The audit trail records signing evidence around Form I-693, creating a reviewable history separate from the medical information entered in the form.
Signer authentication:
Timestamp capture:
Document history:
Tamper evidence:
Action logging:
Audit export:
Find and fill out the correct form i693 2017 2019
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| Versions | Form popularity | Fillable & printable |
|---|---|---|
| USCIS I-693 2017 | 4.8 Satisfied (2439 Votes) |
Security controls for Form I-693 records
AES-256 at rest:
TLS 1.2/1.3 in transit:
HIPAA compliant with BAA:
SOC 2 Type II certified:
ISO 27001 certified:
ESIGN and UETA compliant:
Best practices for Form I-693 records
Accurate field review, controlled routing, and coordinated recordkeeping reduce avoidable problems when Form I-693 contains sensitive medical and immigration information.
Review every Form I-693 field before sending
Assign each Form I-693 participant precisely
Preserve the completed record and audit trail
Check certification before USCIS filing
Privacy pitfalls in Form I-693 workflows
Medical information in Form I-693 can expose sensitive health data when recipients, sharing permissions, or downloaded copies are not carefully controlled. A missing electronic-consent record can weaken evidence that a participant agreed to complete Form I-693 electronically. Sending Form I-693 to the wrong recipient can disclose immigration and medical information outside the intended case team. Using an outdated or incomplete Form I-693 template can leave required applicant, examination, or civil surgeon information unresolved.
Platform requirements for Form I-693
Form I-693 can be prepared through signNow on supported desktop browsers, including Chrome, Firefox, Safari, and Edge, using Windows or macOS. signNow also provides mobile apps for iOS and Android, allowing authorized participants to review and sign from supported mobile devices.
Browsers Chrome, Firefox, Safari, and Edge Desktop systems Windows and macOS desktop access Mobile apps iOS and Android mobile apps
Organizations handling Form I-693 should use managed devices, controlled account access, and current browser versions. Teams may also evaluate signNow integrations, API access, and single sign-on provisioning when immigration practices or medical offices need the workflow connected to existing systems.
Legal standing of electronic Form I-693 records
For a transaction involving Form I-693, electronic records and signatures may receive legal recognition under ESIGN and applicable state law, including UETA, when intent, consent, attribution, and reproducibility are established. These frameworks do not replace USCIS instructions, civil-surgeon certification, or exclusions for wills and certain court filings.

Troubleshooting Form I-693 signing
These answers address specific Form I-693 preparation, identity, privacy, plan, and USCIS-filing questions that arise during electronic signing workflows.
Upload the current Form I-693 PDF again and inspect detected fields before sending. signNow templates and field placement can help, but the civil surgeon remains responsible for the medical certification and required form content.
Use signNow’s signer authentication options, including two-factor authentication or SMS OTP where configured, and confirm the recipient’s contact information. ESIGN requires intent, consent, attribution, and record retention for an enforceable electronic transaction.
The signNow Business plan includes legally binding eSignatures, templates, audit trails, and mobile apps. Business Premium adds bulk send, while Enterprise adds advanced signer authentication and conditional fields.
For health information workflows, signNow identifies HIPAA compliance as requiring a business associate agreement. Confirm the applicable covered-entity arrangement and avoid sending medical information to unauthorized recipients.
Review the completed Form I-693 and its audit trail together before case filing. signNow records timestamps and document history, but USCIS filing requirements and civil surgeon responsibilities remain separate from the signing platform.
Electronic signing does not replace USCIS requirements for the Form I-693 medical examination, civil surgeon certification, or submission with an immigration case. Verify the current USCIS instructions before filing the completed form.
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