USCIS Requires I-693 Medical Exam Form to Be Submitted with Green Card Applications

Posted on May 06, 2025

USCIS has announced that it now requires some applicants applying for adjustment of status (Form I-485) to also file a completed Form I-693 (Report of Immigration Medical Examination and Vaccination Record) with their application for adjustment of status.  If you do not include a completed I-693 with your I-485, then USCIS may reject your entire filing and send it back to you, without giving you a filing date.  This could have very important negative consequences, especially if your filing is time-sensitive and you need to file your I-485 by a certain date.  For more information, you can read the instructions for the I-485 which USCIS posts on their website.

It is also important to note that USCIS changed their policy (in 2024) regarding the VALIDITY of the Form I-693.  This new policy states that if your Form I-693 was signed by a civil surgeon (a USCIS approved doctor) on or after November 1, 2023, then it does NOT expire, and it can be used forever to prove that you meet the health-related requirements of the U.S. immigration laws.  Note, however, that even with this new rule in place, USCIS can still ask for an updated I-693 if they think that your medical condition has changed or if the results on your form do not clearly show your current health status.

Finally, if your I-693 was signed by a doctor before November 1, 2023, then it is only valid for 2 years from the date that the doctor signed it.  This is because the older forms did not include electronic sharing with the Centers for Disease Control and Prevention (CDC).

If you have questions about this blog post or you need assistance with your case, contact U.S. Immigration Lawyer Sean D. Hummel to schedule an appointment: (954) 385-3111 or sean@hummelaw.com.

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