Don’t Let Your Form I-693 Expire! Review of Form I-693 Validity Period

What is Form I-693 and who needs to file it?

The Form I-693, Report of Medical Examination and Vaccination Record is required for applicants seeking to adjust status from within the United States to become lawful permanent residents (green card holders). The form is signed by a civil surgeon (USCIS-designated physician) following a medical examination to establish that an applicant is not inadmissible to the United States on public health grounds.

The examination is required to establish that you are not inadmissible to the United States on public health grounds. A list of those health grounds can be found in section 212(a)(1) of the Immigration and Nationality Act (INA).

How long is Form I-693 considered valid by USCIS?

USCIS considers a completed Form I-693 valid for 2 years after the date the civil surgeon signed it. (A civil surgeon is a medical doctor who is designated by the U.S. Citizenship and Immigration Services (USCIS) to conduct medical examinations of immigrants applying for permanent residence.)

Filing your Form I-485 with Form I-693 will eliminate the need for USCIS to issue a Request for Evidence (RFE) to obtain your Form I-693, which delays the review of your application until you respond to the RFE. However, if your I-485 adjudication takes longer than two years, USCIS will request that you undergo a new medical exam and obtain a new signed Form I-693. Therefore a strategic review of wait times in I-485 is necessary to ascertain the best time to file I-693.

When should a civil surgeon sign my Form I-693?

As of the date of writing U.S. Citizenship and Immigration Services (USCIS) has removed the requirement that civil surgeons must sign Form I-693, Report of Immigration Medical Examination and Vaccination Record, no more than 60 days before an individual applies for an underlying immigration benefit (including Form I-485, Application to Register Permanent Residence or Adjust Status).

The requirement had been subject to a temporary waiver since Dec. 9, 2021. However, USCIS still encourages that applicants undergo the immigration medical examination close to the time they file Form I-485 because Form I-693 is only valid for 2 years from the date of the civil surgeon’s signature. After the 2-year time frame, you must submit a new Form I-693 if USCIS has not adjudicated your Form I-485.

USCIS update regarding Form-693:

ALERT: Save time by submitting Form I-693, Report of Immigration Medical Examination and Vaccination Record, at the same time you file Form I-485, Application to Register Permanent Residence or Adjust Status. We generally consider a completed Form I-693 to remain valid for 2 years after the date the civil surgeon signed Form I-693.

Filing your Form I-485 with Form I-693 may eliminate the need for us to issue a Request for Evidence (RFE) to obtain your Form I-693, which delays review of your application until you respond to the RFE.

Source: https://www.uscis.gov/i-693

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