I-693 Exam in Houston: What to Bring and the Sealed Envelope

If your adjustment of status packet is ready except for the medical exam, the two things worth knowing are what paperwork to bring and what to do with the envelope afterward. At Clínica Hispana Familiar 529, on FM 529 in northwest Houston, the exam is signed by a USCIS-authorized Civil Surgeon, and showing up organized saves you a second trip.

What is Form I-693, exactly?

It is the Report of Immigration Medical Examination and Vaccination Record. USCIS requires it from most people applying to adjust status inside the United States, and only a USCIS-designated Civil Surgeon can complete it. The current edition and its instructions always live on the official page, uscis.gov/i-693. Check there before your visit, since USCIS rejects outdated editions.

Which documents should I bring on exam day?

Put these in one folder before you leave home in Copperfield, Bear Creek or Katy:

• A current photo ID: passport, Texas driver's license or the card you use for your immigration case. The name should match your application.
• Your A-Number, if you already have one. It goes on the form.
• Your vaccination record, from your home country or from here, original or a readable copy. If it is in another language, bring it anyway; the team will go through it with you.
• A list of the medications you take now, with doses.
• Records of past or current conditions, especially any history of tuberculosis, a previous positive TB test, or treatment for a chronic illness.
• The glasses or hearing aid you normally wear, so the exam reflects your everyday vision and hearing.
• For a minor, the child's ID plus the ID of the parent or guardian bringing them.

Can't find your vaccine card? Keep the visit. Missing vaccines can be given at the clinic or immunity can be checked with blood work, depending on what the USCIS instructions require for your case.

Should I sign the form before I arrive?

No. You may fill in your personal details in the first part, but the applicant signs in front of the Civil Surgeon, who also verifies your identity. Signing at home can mean redoing that page.

What happens during the visit?

The exam follows the technical instructions the CDC sets for Civil Surgeons. In general it covers:

• A review of your medical and mental health history.
• A general physical exam.
• The tuberculosis test that applies to your age.
• The blood and urine tests required by the current guidance, such as syphilis and gonorrhea screening for certain age groups.
• A check of your vaccination record and any doses still missing.

If a result comes back abnormal, such as a positive TB test, the form stays open until the follow-up the guidance calls for is done (for example, a chest X-ray). The team walks you through the next step and handles the referral to a specialist when one is needed.

When do I get the envelope, and what do I do with it?

Once every test is complete, the Civil Surgeon signs the I-693 and seals it in an envelope. You take that envelope with you, usually along with a personal copy for your records.

Three rules for the envelope:

• Don't open it. A broken seal or a tampered envelope can get your form returned, and you would have to repeat the process.
• Don't fold it or write on it. Keep it flat in a folder.
• Send it exactly as you received it, with your application or when USCIS asks for it, following the instructions currently posted on the official form page. USCIS also sets how long the Civil Surgeon's signature stays valid; confirm that there before you mail your packet.

Your personal copy is the one you can read freely. It tells you which vaccines you received and belongs in your own health file.

Do I need an appointment?

No. For the I-693 you can come in with your folder any day from Monday to Saturday, 9 AM to 9 PM, or on Sunday until 5 PM. Arriving early helps, because the exam combines several tests and a document review. To confirm what is included and ask the price before you come, call or WhatsApp (281) 694-7250. Any current offer for the immigration exam will show up in this site's promotions section.

Is the exam available in Spanish?

Yes. The whole process is explained in English or Spanish, whichever you prefer. That matters when answering the medical history questions, which are part of the form.

Checklist for your folder

More details about the service are on the immigration exams page.

Where is the clinic?

At 15003 FM 529, Suite B, Houston, TX 77095, a few minutes from Highway 6. Patients come from Cypress, Jersey Village, Langham Creek and Addicks, and parking out front is free. Bring your folder, walk in during weekday or Sunday hours, and leave with the envelope ready for your file once the tests are complete.