August 22, 2021 Uncategorized I-693 Registration and Pre-Visit Submissions Please enable JavaScript in your browser to complete this form.Welcome to your Pre I-693 Visit Assistant. Please be sure to fill this form in its entirety everywhere that it applies to you. This will ensure that you get seamless service. Submission is required at least 24 hours before your scheduled visit.The I-693 Exam service fee is $400. Included in this cost is payment for STD and Tuberculosis testing via Quantiferon blood test as required by USCIS. If you are known to have positive tuberculin results, you are still required by USCIS to take the Quantiferon test. However, the $400 payment does not cover the cost of the additional Chest X-Ray that will be required following a Positive Quantiferon Test result. The $400 also does not cover the cost of any vaccinations that you may need. The $400 only covers the Physician's examination, STD screening, and the Quantiferon Test. Family Name (Last Name) *Given Name (First Name) *Middle NameAddress Line 1 *Apartment/Suite/Floor Number (if any)Apartment NumberSuite NumberFloor NumberDo not check any and move to City, if not relevant to you.Enter Apartment/Floor/Suite Number Only (if any)*No special characters allowed pleaseCity *State *CaliforniaZip Code *Gender *MaleFemaleApplicant's Phone Number *Applicant's Email Address *Date of Birth *2 digit month, 2 digit date, 4 digit yearCity/Town/Village of Birth *Country of Birth *Alien Registration Number (A-Number) (if any)USCIS Online Account Number (if any)Form of Identification to be presented by applicant *California Driver LicenseIdentification CardInternational PassportEmployment Authorization Document/CardOther State Driver License (Not California)Passport CardBorder Crossing CardOtherDocument Identification Number *Please enter the document number on your International Passport/ID Card/Passport Card/Driver License/Employment Authorization Number exactly as it appearsPlease take a picture of your Identification and Upload here * Click or drag files to this area to upload. You can upload up to 4 files. Vaccination Records: History and EvidenceYes. I have been vaccinated in the past, and I have copies of my vaccination cardYes. I have been vaccinated in the past, but I do not have any physical evidence or proof to presentNo. I have not been vaccinated in the past and I don't have my vaccination cardHave you been vaccinated in the past? Depending on your age, USCIS requires different vaccinations. Your vaccination history must be presented to the civil surgeon to review.Please Upload Copies of your Vaccination Records Click or drag files to this area to upload. You can upload up to 6 files. Please take a clear picture of the front and back of all your vaccination records and upload here. The civil surgeon will need to sight the original/physical copy at the time of your visit.Section IIApplicant's Statement *I can read and understand English. I have read and understand everything on the I-693 FormI cannot read and understand English. An Interpreter has read and explained everything on the I-693 Form to mePlease read carefully:If you are using an interpreter, then you are required to fill in this information. Otherwise, please skip to "Applicant Signature"Interpreter's Family Name (Last Name)Please enter interpreter's details (if any)Interpreter's Given Name (First Name)Please enter interpreter's details (if any)Interpreter's Business Organization Name (if any)Please enter interpreter's details (if any)Applicant's Native Language (if using interpreter)Interpreter's Phone NumberInterpreter's Email Address (if any)Interpreter's Address Line 1Interpreter's Address Line 2Interpreter's Apartment/Suite/Floor Number (if any) Apartment NumberSuite NumberFloor NumberDo not check any and move to City, if not relevant to you.Enter Interpreter's Apartment/Floor/Suite Number Only (if any)*No special characters allowed pleaseInterpreter's City Interpreter's StateCaliforniaInterpreter's Zip CodeApplicant's Signature *Sign your name here pleaseSubmit By Yinka Daramola 0
