USCIS DOCTOR - Immigration Medical Examination: I-693 form
Please fill out the following new I-693 form (new form expires in 2019 10/19/18 version) by typing it then print it and bring it to our office
You Must USE INTERNET EXPLORER to open

I-693 101917.pdf (PDF — 1 MB)




Also you can fill out the demographic page. You can just type it once itis downloaded, or if you prefer you can print it out and fill it in pen. 

Demographics.doc (DOC — 30 KB)


Instructions on how to fill I-693 form:
 
You Must USE INTERNET EXPLORER to open the file.

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

If you type it, it would be better to use all capital letters.
2- Name:Use your legal name.  If you have two last names, include both and use a hyphen (-) to separate them. If we are asked whether to use your new or old name, you must ask your immigration attorney. We do not answer this question. 
3- Home address: Give your physical street address, no P.O. Box.
4- Date of birthUse 8 numbers, for example if you are born May 1, 1979 use 05/01/1979.
5- Place of birthGive the name of city, town or village you were born in.
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- SignatureYou must sign in front of us. If the child is younger than 14, a parent or guardian should sign. IF YOUR CHILD IS 14 YEARS OR OLDER THE CHILD MUST SIGN NOT THE PARENTS.
9- Top of pages 2-9: Only type your name and A-number.