https://www.uscis.gov/i-693
Where to File
After completion of the medical examination, the civil surgeon is required to give you, the applicant, the completed Form I-693 in a sealed envelope for submission to USCIS. Do not accept it if it is not in a sealed envelope. USCIS will return the form to you if it is not in a sealed envelope or if the envelope has been opened or altered.
It is the applicant’s responsibility to submit the Form I-693 to USCIS, not the civil surgeon’s.
If you are applying for adjustment of status, you may submit Form I-693 in one of the following ways:
– Submit Form I-693 by mail, together with your Form I-485, Application to Register for Permanent Residence or Adjust Status, to the location specified for your Form I-485 (see “Direct Filing Addresses for Form I-485”).
– Submit Form I-693 by mail, after filing your Form I-485, to the location specified in your most recent communication with USCIS (for example, a Request for Evidence letter from USCIS).
– Submit Form I-693 in person, at an interview in a USCIS field office (if an interview is required).
