Who should sign Parts 5 and 6 of Form I-693?
A civil surgeon signs Part 5 of Form I-693 when he/she is reviewing vaccinations for refugees or performing the medical exam, if needed. OR USCIS allows physicians affiliated with public health departments to act as civil surgeons when signing the I-693 for refugees who arrived without a Class A condition. In this situation, Part 6 should be completed and signed by the public health department’s physician. A stamped signature is acceptable. The stamp or seal of the public health department must be placed in Part 6. The public health department nurse or other health care professional may, but is not required to co-sign the form.