I 693 Instructions: Fill & Download for Free

Here’s what the USCIS site says under the special instruction:“To ensure your medical examination results are still valid when we adjudicate your associated benefit application, you should schedule the medical examination as close as possible to the time you file for adjustment of status, respond to a Request for Evidence, or attend an interview (if applicable). NOTE: The Form I-693 must be dated no earlier than 60 days before you filed your underlying application.Be sure to provide enough time for any laboratory testing or additional testing required under CDC's technical instructions.”Report of Medical Examination and Vaccination Record

According to the USCIS manual: Chapter 6 - Communicable Diseases of Public Health Significance -“For applicants identified with Class B, latent TB, a referral to the Health Department is only recommended under the Technical Instructions. A referral is not required and that section does not have to be completed in this case. Therefore, the officer may accept Form I-693 without the referral evaluation section being completed and should not RFE.”*I am not an attorney. Please do not misconstrue the above as legal advice.*

The question is, “Since the CDC is telling us that we have a few epidemics going on, why are there no vaccine requirements to travel to the US?”To be honest, the question makes very little sense, as the current outbreaks aren’t actually epidemics, they’re outbreaks, in outlier communities, who rejected vaccines for faith or philosphical objection reasons and are now paying the price of doing so, courtesy of a US citizen in each traveling outside of the US and becoming infected, for measles and the mumps outbreak at Temple University, due to waning immunity.So, why would the US State Department warn US travelers to avoid travel to the US, due to a couple of hundred, likely to rise to a few hundred infected, in several closely knit communities, out of a nation of 320 million people?For that matter, why would foreign ministries of state give such a warning for such modest outbreaks?If you mean why doesn’t the US have vaccine requirements, you’re worse than wrong in asking, as you’re not only not right, you’re not even wrong.Vaccination Requirements“Under the immigration laws of the United States, a foreign national who applies for an immigrant visa abroad, or who seeks to adjust status to a permanent resident while in the United States, is required to receive vaccinations to prevent the following diseases: Mumps, Measles, Rubella, Polio, Tetanus and Diphtheria Toxoids, Pertussis, Haemophilus influenzae type B, Hepatitis B.Any other vaccine-preventable diseases recommended by the Advisory Committee for Immunization PracticesThe Advisory Committee for Immunization Practices (ACIP) is an advisory committee to the Department of Health and Human Services (HHS)/Centers for Disease Control and Prevention (CDC) that recommends immunizations for the general U.S. population. Starting Dec.14, 2009, when the ACIP recommends new vaccines for the general U.S. population, CDC will assess whether these vaccines should be required for immigration purposes on a regular and on an as-needed basis according to specific criteria set by CDC.CDC is responsible for publishing the Technical Instructions for the Medical Examination of Aliens in the United States. These documents set the requirements for the immigrant medical examination and are binding on civil surgeons. The Technical Instructions include a vaccination component, specifying how the civil surgeon has to conduct the vaccination assessment. The civil surgeon records the results of the medical examination, including the results of the vaccination assessment, on USCIS Form I-693, Report of Medical Examination and Vaccination Record.If a foreign national applies for an immigrant visa abroad, that individual has to receive the medical examination by a panel physician designated by the U.S. Department of State (DOS). CDC issues separate instructions to panel physicians designated by DOS to conduct medical examinations abroad.”We cannot require US citizens to have such or be denied entry, as exiling someone is unconstitutional.