After getting married in the USA (Florida), I now had to file an I-485 Green Card application for permanent residency. This is also called seeking an adjustment of status (AOS). If all went well with that, then I would be issued with a USCIS Green Card. Before I could do that, however, I needed to get certification to show that all my vaccinations and health checks etc. were in order. This was to be done with a USCIS I-693 form, I discovered, which I had to get filled out and then include when I sent in the I-485 Green Card application package.
As I had had a K1 Fiance Visa Medical Exam back in London only a few months prior and had brought my copy of the vaccinations sheet with me to the USA, that made things a little easier when sorting out the USCIS I-693 form. Essentially, because I had had my K1Fiance Visa Medical Exam within 12 months previous to putting in my I-485 Green Card application, I didn’t need to undergo another medical (phew!) and I only needed the USCIS i-693 supplemental form filling out, not the entire I-693 form.
The I-693 supplemental form relates only to the vaccination supplement part of the form and has to be filled out by a designated civil surgeon, which basically means a USCIS approved doctor. There is a list of practices on the USCIS website that I used to help me find a designated civil surgeon. Apparently, prices vary considerably, so you are supposed to shop around. In my small city, however, there were only two practices with a designated civil surgeon and one of them never answered my calls, so I didn’t have a great deal of choice. The price wasn’t bad, however. I forget what the fee was but it was somewhere in the region of $35. I had to keep telling them that I only needed the I-693 supplemental form doing, however, and did not require the entire medical (which would have cost considerably more and was completely unnecessary in my case).
Anyway, I booked an appointment and it was all very straightforward. As it had already been determined that I met the US vaccination requirements for the medical exam back in London, I just took along my passport as ID and my copy of the vaccine worksheet that I had been given to me after my London medical and they copied my details from the vaccine worksheet over onto the USCIS I-693 supplement. I didn’t need any extra vaccinations. The I-693 supplement was then stamped and signed by the designated civil surgeon and I was given a sealed envelope that I was told under no circumstances should I open.
Now that I had sorted out my USCIS i-693 supplemental form, I was ready to put together my I-485 Green Card application package.