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Form I-693 vs DS-2054: Adjustment vs Consular Processing

ICIMR Clinical Review Board
May 21, 2026
1min read
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If you’re getting a green card through marriage to a US citizen and currently in the US, you’ll complete Form I-693 with a USCIS Civil Surgeon. If you’re in your home country waiting for a US Embassy interview, you’ll complete Form DS-2054 with a Panel Physician approved by the embassy. Same exam, different forms, different physicians.

Form I-693 (adjustment of status)

  • Filed with Form I-485 inside the US
  • Completed by USCIS-designated Civil Surgeon
  • Sealed envelope submitted to USCIS
  • Indefinitely valid (since Nov 2023 update) if conditions met

Form DS-2054 (consular processing)

  • Required for the visa interview at a US Embassy or Consulate
  • Completed by an embassy-approved Panel Physician
  • Results transmitted electronically to the embassy
  • Valid 6 months from exam date
IC

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IMR Clinical Review Board

The IMR Clinical Review Board is Immigration Medical's internal editorial team, responsible for keeping this site's general health-information content accurate and current with USCIS policy. Medical accuracy of this content is reviewed by Diana Nieves Castro, MD -- see our medical review process for details.

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