The single most common reason USCIS issues a Request for Evidence (RFE) on an I-693 is that the applicant or their attorney opened the sealed envelope. Don’t do it.
What the seal looks like
Your Civil Surgeon will hand you (or mail you) a manila envelope with the I-693 inside. The envelope’s flap will have a USCIS-required label across it that says “DO NOT OPEN — FOR USCIS USE ONLY,” and the Civil Surgeon will sign the seal.
What happens if you open it
USCIS will reject the I-693 and require a new exam — meaning a new $295+ fee. Your I-485 case will be delayed by the time it takes to schedule, complete, and re-submit the new exam.
What if my attorney needs to verify the results?
Ask your Civil Surgeon for a duplicate open copy of the I-693 for your records. Reputable Civil Surgeons routinely provide this — the sealed copy is for USCIS only.
If you haven’t scheduled your exam yet, details on what’s included are on our I-693 exam service page.