Generally, all applicants filing for immigrant visas and some non-immigrant visas, refugees and adjustments of status to that of a permanent resident, must submit Form I-693 completed by a designated Civil surgeon. Form I-693 is used to report results of a medical examination to USCIS. The examination is required to establish that you are not inadmissible to the United Status on public health grounds. A Medical exam is generally confined to a standard physical exam including blood and urine tests and x- rays, prior medical records as well as the applicants' mental state is examined.