Form I-693 documents the results of the required medical examination for a spouse (or other family member) seeking a green card. For those applying from within the United States, their medical exam is performed by a doctor approved by U.S. Citizenship and Immigration Services (USCIS), who provides a signed Form I-693. For those applying from outside the United States, a State Department-approved doctor performs the medical exam. What to expect and how to prepare for the green card medical exam