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[Mickie Bottiglieri]

ALERTEffective April 4, 2024, any Form I-693 that was properly completed and signed by a civil surgeon on or after Nov. 1, 2023, does not expire, and can be used indefinitely as evidence to show that the applicant is not inadmissible on health-related grounds. For more information, see the Policy Alert.

The Centers for Disease Control and Prevention (CDC) recently updated the Tuberculosis Technical Instructions for Civil Surgeons. Civil Surgeons must now register for access to eMedical, an electronic health processing system. Using eMedical will help the CDC maintain public health security and transition to electronic submission of immigration medical examinations. Civil Surgeons should have received emailed instructions to register; it is important that you follow these instructions and register immediately. If you did not receive the emails with instructions from the CDC and eMedical, please email OPSCivil...@uscis.dhs.gov.

A list of those health grounds can be found in section 212(a)(1) of the Immigration and Nationality Act. For more information on the validity of Form I-693, see the USCIS Policy Manual Volume 8, Part B, Chapter 4.

After completing your immigration medical examination, the civil surgeon must give you, the applicant, the completed Form I-693 in a sealed envelope. Do not accept it if it is not in a sealed envelope. We will return the form to you if it is not in a sealed envelope, or if the envelope has been opened or altered.

You are not required to submit your Form I-693 at the same time you file Form I-485. While some applicants intend to bring their completed Form I-693 to their interview, some applications may not require an interview. We make decisions to waive interviews on a case-by-case basis.

Filing Form I-485 and Form I-693 at the same time may eliminate the need for us to issue a Request for Evidence (RFE) to obtain your Form I-693. This may also help avoid adjudication delays if we decide that you do not need to be interviewed.

To ensure your immigration medical examination results are still valid when we adjudicate your associated benefit application, you should schedule the immigration medical examination as close as possible to the time you file for adjustment of status, respond to a Request for Evidence, or attend an interview (if applicable).

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The Department has developed optional-use forms which can be used by employers to provide required notices to employees, and by employees to provide certification of their need for leave for an FMLA qualifying reason. These forms are electronically fillable PDFs and can be saved electronically. Alternatively, employers may use their own forms, if they provide the same basic notice information and require only the same basic certification information.

Certification is an optional tool provided by the FMLA for employers to use to request information to support certain FMLA-qualifying reasons for leave. An employee can provide the required information contained on a certification form in any format, such as on the letterhead of the healthcare provider, or official documentation issued by the military.

Please do not send any completed certification forms to the U.S. Department of Labor, Wage and Hour Division. Return completed certifications to the employee to provide to his or her employer.

Your employer may use the WHD prototype forms or create their own version of the forms containing the same basic information. However, an employer that requests a medical certification may request only information that relates to the serious health condition for which the current need for leave exists, and no information may be required beyond that specified in the FMLA regulations. See 29 CFR 825.306, 29 CFR 825.307, and 29 CFR 825.308.

Employers must accept a complete and sufficient certification, regardless of the format. The employer cannot reject a certification that contains all the information needed to determine if the leave is FMLA-qualifying. The employer cannot refuse:

Yes. The content of the information contained within the optional-use DOL form is still applicable, regardless of the expiration date. The expiration date on the DOL forms is related to the collection of information as required by the Office of Management and Budget (OMB), and not relevant to the content of the required information.

To obtain a medical certificate you must be examined by an FAA-designated Aviation Medical Examiner (AME). As the airman you should follow these steps to apply for and obtain your medical certificate:

At your scheduled appointment, the AME will complete your medical examination and the remainder of the FAA application form. If you meet the required medical standards, the AME will issue you a medical certificate.

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The medical certificate is a document that serves as proof that a mariner meets the required medical and physical standards. In order to receive a Merchant Mariner Credential or Medical Certificate you will need to complete the correct applications.

The Application for Mariner Medical Certificate (CG-719K) is required for Officers and Mariners with a qualified rating. The examination and form must be completed within 12 months of application date. The medical provider completing the required examination must be a physician, physician assistant, or nurse practitioner who is licensed in the US or US Territory. Use the following steps to apply.

USCG practices, with respect to the physical and medical evaluation process, continually evolve to align with current medical standards of care and current safety standards. Although Chapters 8 through 25 of the Merchant Mariner Medical Manual, Commandant Instruction Manual (COMDTINST M16721.48) provide guidance on medical conditions that may be subject to further review, the list of conditions is not all-inclusive; other conditions may be subject to further review if they are likely to pose risk of sudden incapacitation or a debilitating complication. For the most current medical information available, please contact the National Maritime Center Medical Helpdesk, 1-888-IASKNMC (1-888-427-5662).

The Application for Merchant Mariner Medical Certificate for Entry Level Ratings (CG-719K/E) is required for entry level mariners. The examination and form must be completed within 12 months of application date. The medical provider completing the required examination must be a physician, physician assistant, or nurse practitioner who is licensed in the U.S. or a U.S. territory. Use the following steps to apply.

The Merchant Mariner Medical Manual should assist medical practitioners, the maritime industry, individual mariners, and Coast Guard personnel in evaluating a mariner applicant's physical and medical status to meet the requirements of the merchant mariner medical certificate. This Manual incorporates and consolidates prior guidance on the medical evaluation of merchant mariners contained in several Coast Guard documents. The Manual includes guidance on the medical certificate and related processes, including procedures for application, issuance, and cancellation of the medical certificate.

The certified MEs from the National Registry fully understand the medical standards in the FMCSA Regulations, related guidance and how they relate to the medical demands of operating a commercial motor vehicle.

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