A. Outcomes Of the Healthcare Exam
The medic must annotate the outcome associated with evaluation the implementing techniques:
Screen doctors must annotate the final results belonging to the surgical assessment regarding the healthcare test for Immigrant or Refugee candidate (1991 TB Specialized recommendations) (type DS-2053) and/or healthcare test for Immigrant or Refugee candidate (2007 TB techie training) (version DS-2054), and relevant worksheets. 
Civilized cosmetic surgeons must annotate the medical exam results on document of health assessment and Vaccination tape (version I-693).
B. Records Completed by Panel Physician
Since circumstances section consular officer critiques the medical documents done by a board doctor included in the offshore credit techniques, a USCIS policeman may assume that the health-related records is properly accomplished. 
If USCIS specialist letters a substantial irregularity for example a skip of a specific section, the policeman may concern a request proof (RFE) for a civilized doctor in the usa finished the absent part(s) belonging to the medical assessment. A civil surgeon should handle any deficiency by doing the particular components of a questionnaire I-693 as per the technological manual for Civil specialists released by way of the clinics for ailments Control and avoidance (CDC).  This should simply occur in uncommon circumstances.
People possess been assessed offshore and are also not required to replicate the healthcare examination in the United States can still echat for everyone should display evidence of the inoculation need. 
C. Forms Done By City Surgeon
1. Civil Doctor Identification
Apart from doctors who’re Public overall health tool officials, only doctors specific by USCIS to act as municipal doctors may conduct an immigration health exam in america and complete Form I-693.  merely professionals of drug (M.D.) and physicians of osteopathy (D.O.) that happen to be at present trained to practice as physicians could be designated.  health related conditions is considered a civil physician in the course of the conclusion for the specialized examination.
To ascertain perhaps the doctor is actually considered a municipal physician, the policeman should consult with the specific civil surgeon list at uscis.gov/tools (via the Find a health care provider tool).
2. Solid Kind
Here specifications should always generally be achieved regarding any kind I-693 listed in USCIS:
The design should be done legibly;
All necessary elements of the shape should be completed; 
The shape should signed and outdated with the chose civilized physician who conducted the surgical test; 
The design must signed and outdated with the individual who had been analyzed; 
If pertinent, the design ought to be signed and dated by the physician(s) doing reference assessments; 
The form must nevertheless be appropriate;  and
The proper execution is in a closed envelope as highlighted in the forma€™s rules.
If the earlier mentioned requisite may not be found, or if undoubtedly data that the package has-been interfered with, the policeman must come back original version I-693 into candidate for restorative measures. Whenever an original is actually went back to the individual, the specialist should retain a duplicate.
A reply to an RFE was appropriate when it is completed by a municipal physician in one of the as a result of ways:
The civil doctor annotates the first health-related test into the lacking part(s), and both applicant and also the civil surgeon re-sign and re-date her particular qualification.
The civilized physician re-completes an entirely latest type I-693, and adjusts when it comes to first shortcomings.
The civilized surgeon finishes all of the following parts of a whole new type: The character that contain the applicanta€™s data,  the part(s) which are bad inside the original exam, and also the character that contain the municipal surgeona€™s records and credentials. The civilized surgeon must include the original health-related examination records on your recently done section.
The candidate may go back to the first municipal physician which carried out the immigration health check or the latest civil physician to correct the design.
The municipal doctor must position the changed type  in a sealed package. The applicant must after that get back the enclosed envelope to USCIS.