USCIS Updates Rule: Form I-693 Medical Exam Now Comes with Limited Validity Period

The U.S. Citizenship and Immigration Services (USCIS) has announced a significant update regarding Form I-693, which pertains to the medical exams required for immigration. This change affects green card applicants and those adjusting their status in the U.S. Below, we break down who needs this form, its purpose, and how the new rules impact your immigration journey.

New Validity Rules for Form I-693

USCIS has shifted its policy, linking the validity of Form I-693 directly to active immigration applications. This rule took effect for all pending or new applications submitted on or after June 11, 2025.

Medical Exams Invalid After Denial or Withdrawal

Starting now, any Form I-693 signed by a USCIS-approved civil surgeon after November 1, 2023, remains valid only while the corresponding immigration application is active. If your application gets denied or withdrawn, the Form I-693 becomes invalid, even if it’s still within the designated timeframe.

This new rule replaces the previous policy, which allowed Form I-693 to remain valid indefinitely for future immigration requests.

Key Changes in Form I-693 Validity

Understanding Form I-693: Who Needs It?

Form I-693 is a required medical report for most individuals applying to adjust their status to permanent residency (Green Card) in the U.S. This form primarily serves to:

• Confirm the applicant is not inadmissible due to public health issues
• Verify that all necessary vaccinations have been received
• Screen for communicable diseases, mental health conditions, and substance abuse

Most applicants filing Form I-485, seeking lawful permanent residence, must submit a completed Form I-693 conducted by a USCIS-approved civil surgeon. USCIS may also request this form in specific cases, even if the medical exam isn’t automatically required, especially when public health concerns arise.

Essential Takeaways for Applicants

• New Rule Date: This applies to all cases pending or submitted on or after June 11, 2025.
• Signed After Nov. 1, 2023: It will only be valid while your immigration case is active.
• Case Denied or Withdrawn: You will need a new Form I-693 if you decide to reapply.
• Avoid Delays: To prevent processing slowdowns, submit the most recent Form I-693 when filing Form I-485.

Final Thoughts

The updated USCIS policy emphasizes that immigration health requirements are vital for public safety, not merely administrative tasks. Immigrants seeking permanent residency must ensure their Form I-693 is accurately completed and timely submitted in line with their application status.

For a smoother immigration process, stay informed about these new timelines, keep an eye on USCIS updates, and consider consulting a licensed immigration attorney when necessary.