Most doctors will provide a copy of the medical exam form (Form I-693) at their office. However, it’s generally best that the spouse seeking a green card print out a copy of Form I-693 from the USCIS website and bring it with them to the appointment. U.S. Citizenship and Immigration Services (USCIS) periodically updates immigration forms and doctors sometimes forget to replace the older versions with the latest ones. If an applicant submits an expired form, USCIS will reject it and ask for the newer version of the form, which will delay the application process.