USCIS DOCTOR - Immigration Medical Examination: I-693 form
Please fill out the following new I-693 form (new form expires in 2019) by typing it then print it and bring it to our office.  Also you can fill out the demographic you can downloaded and type it or print it and fill it. You Must USE INTERNET EXPLORER to open the file.

DemoI693 62716.pdf (PDF — 12 KB)

Instructions on how to fill I-693 form: 

Fill ONLY part 1, your name, and A number at  the top of each page.  It is ok if you do not have A-number.

Fill part 2 only if an interpreter is helping you with your application for I-693

1- Type:  If you fill it, use black ink pen and write capital letters only.
If you type it, it would be better to use all capital letters.

2- Name: Use your legal name.  If you have two last name, include both and use a hyphen (-).  Any question regarding weather to use old or new name, you must ask immigration attorney.

3- Home address: Give your physical street address, no P.O. Box.

4- Date of birth:  Use 8 numbers, for example if you are born May 1, 1979 use 05/01/1979.

5- Place of birth: Give the name of city, town or village you were born.

6- Country of birth: Give the name of country you were born.

7- A-number: This is alien registration file number.  This starts with an "A".  If you don't have it, leave it blank.

8- Signature:  You must sign in front of us. If younger than 14, a parent or guardian should sign. IF YOUR CHILD IS 14 YEARS AND OLDER THE CHILD MUST SIGN NOT THE PARENTS.

9- Top of pages 2-9: Only type your name and A-number.