USCIS revises validity of Form I-693, Report of Medical Examination and Vaccination Record | Immigration Policy Tracking Project (2024)

  1. Original Date Announced

    October 16, 2018

    USCIS issued a policy alert notifying the public that it is updating the USCIS Policy Manual regarding the period of time during which a Form I-693 submitted in support of a related immigration benefits application is considered valid. Specifically, USCIS is updating the way the current maximum 2-year validity period is calculated. Form I-693 is now valid only when a civil surgeon signs it no more than 60 days before the date an applicant files the application for the underlying immigration benefit and when USCIS adjudicates the application within 2 years from the date of the civil surgeon’s signature. [ID #634]

    USCIS Policy Alert 2018-09
  2. Effective Date

    November 1, 2018
  3. Biden Administration Action: Modified

    August 12, 2021

    2021.08.12 USCIS Temporarily Extending Validity Period of Form I-693.pdf

    This Biden administration action modifies the Trump-era policy identified in this entry.

    On August 12, 2021, USCIS announced that due to COVID-19-related processing delays, they are extending the validity period of Form I-693 from two years to four years. This is a temporary extension. Specifically, USCIS may consider a completed Form I-693 as valid if:

    • The civil surgeon’s signature is dated no more than 60 days before the applicant filed Form I-485, Application to Register Permanent Residence or Adjust Status;
    • No more than four years have passed since the date of the civil surgeon’s signature; and
    • A decision on the applicant’s Form I-485 is issued on or before Sept. 30, 2021.
    View Document
  4. Biden Administration Action: Modified

    December 9, 2021

    2021.12.09 Temporary Waiver of “60-Day Rule” for Report of Medical Examination and Vaccination Record (Form I-693)

    This Biden administration policy temporarily waives the Trump-era policy identified in this entry.

    On December 9, 2021, citing the ongoing COVID-19 pandemic and related processing delays, USCIS announced a temporary waiver until September 30, 2022, of the "60-day rule" which had required that the civil surgeon’s signature on an otherwise valid Form I-693 be dated no more than 60 days before the applicant files the application for the underlying immigration benefit.

    View Document
  5. Biden Administration Action: Modified

    September 29, 2022

    Extension of Temporary Waiver of “60-Day Rule” for Report of Medical Examination and Vaccination Record (Form I-693)

    On September 29, 2022, USCIS announced a continuation of the temporary waiver until March 31, 2023 of the "60-day rule" which required that the civil surgeon’s signature on an otherwise valid Form I-693 be dated no more than 60 days before the applicant files the application for the underlying immigration benefit.

    View Document
  6. Biden Administration Action: Revoked/Replaced

    March 31, 2023

    Removal of “60-Day Rule” for Report of Immigration Medical Examination and Vaccination Record (Form I-693)

    On March 31, 2023, USCIS announced that it would permanently remove the requirement that civil surgeons 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. The new policy applies to all Forms I-693 associated with applications for underlying immigration benefits that were pending as of March 31, 2023.

    USCIS will accept Forms I-693 for adjudicative purposes for up to two years after the date the civil surgeon signed the form, regardless of when the application for the underlying immigration petition was submitted.

    View Document

Current Status

Not in effect

Most Recent Action

March 31, 2023Action: Revoked/Replaced Removal of “60-Day Rule” for Report of Immigration Medical Examination and Vaccination Record (Form I-693)

August 12, 2021

Acted on by Biden Administration

December 9, 2021

Acted on by Biden Administration

September 29, 2022

Acted on by Biden Administration

March 31, 2023

Acted on by Biden Administration

Original Trump Policy Status

Status:Final/Actual

Trump Administration Actions:Change in PracticeForms and Information Collection

Subject Matter:Immigrant Visas

Agencies Affected:USCIS

Associated or Derivative Policies

  • February 1, 2019USCIS requests comment on proposed revisions to Form I-693, Report of Medical Examination and Vaccination Record

Pre Trump-Era Policies

  • May 30, 2014

    The I-693 medical exam was previously valid for one year from the date of submission to USCIS. Additionally, the I-485 applicant had to submit the I-693 medical exam within one year of the actual medical exam date.

    USCIS Policy Alert 2014-005

Documents

Biden Administration Policy Documents

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Glossary

  • Reflects degree to which the Trump-era policy remains in effect today.

  • Trump-era policies that have not been altered or eliminated.

  • Policies that have not been fully eliminated but are not in effect in their original substance. They may have been amended, updated with changes, or eliminated or enjoined in some jurisdictions or with respect to some affected parties but not others.

  • Policies that have expired or been fully rescinded, replaced, enjoined, etc., or that were proposed but never were finalized.

  • Indicates the entity that caused the action reflected in Type of Action. "Others" may include the Trump administration, Congress, unions, etc.--i.e., any actor other than the courts or the Biden Administration.

  • Indicates the process or action by which a policy ceased to be in effect or became partially in effect. If no such action or process has take place, or if the policy has been ratified, it is fully in effect.

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USCIS revises validity of Form I-693, Report of Medical Examination and Vaccination Record | Immigration Policy Tracking Project (2024)

FAQs

USCIS revises validity of Form I-693, Report of Medical Examination and Vaccination Record | Immigration Policy Tracking Project? ›

Based on these developments and in consultation with CDC, USCIS has determined that a properly completed Form I-693 that is signed by a civil surgeon on or after November 1, 2023, does not expire and can be used as evidence to show that the applicant is not inadmissible under the health-related grounds indefinitely.

What is the new rule for I-693? ›

New USCIS policy guidance provides that Forms I-693, Report of Immigration Medical Examination and Vaccination Record, that are properly completed and signed by a civil surgeon on or after November 1, 2023, do not expire and are valid indefinitely as proof of applicant admissibility on health-related grounds.

Can USCIS reject i693? ›

Even in cases in which an applicant's Form I-693 is valid as outlined above, if a USCIS officer has reason to believe that the applicant's medical condition has changed since the civil surgeon signed the Form I-693 or that the Form I-693 does not accurately reflect the applicant's medical condition such that the ...

What is a Class B condition for i693? ›

Class B medical conditions are not inadmissible medical conditions and include any physical or mental abnormality, disease, or disability serious in degree or nature amounting to a substantial departure from well-being. These include: A current physical or mental disorder without associated harmful behavior.

Does immigration check your medical history? ›

In the immigration medical exam, you can expect: A review of your medical history and immunization (vaccine) records. A physical and mental evaluation. Drug and alcohol screening.

How much do doctors charge for for I-693? ›

The cost of the I-693 medical exam varies depending on where you live and your specific needs. The exam fee typically ranges from $100 to $500, but may be more or less in some areas.

How long after I-693 to get a green card? ›

We generally consider a completed Form I-693 to retain its evidentiary value for 2 years after the date the civil surgeon signed it. We have removed the requirement that the applicant submit their underlying immigration benefit application no more than 60 days after the civil surgeon's signature on Form I-693.

Can USCIS make a mistake? ›

While USCIS works to avoid mistakes during the immigration process, it isn't invulnerable to them and has the ability to make occasional errors.

Can green card be approved without medical exam? ›

If you file Form I-485, Application to Register Permanent Residence or Adjust Status, you typically must undergo an immigration medical examination and receive vaccinations against vaccine-preventable diseases.

What may cause you to fail an immigration medical exam? ›

For instance, an individual with a contagious disease such as tuberculosis may fail the medical exam as they can pose a risk to public health. Another common reason for failing the immigration medical exam is the absence of certain required immunizations.

Does high blood pressure affect a green card? ›

Class B conditions. This almost incopasses all medical conditions that do not pose a risk to the general population. Things like high blood pressure, diabetes, cancer ETC. these conditions however need to be under control.

What medical conditions disqualify you from a green card? ›

This article provides a basic overview of those four grounds:
  • 1) Communicable Diseases.
  • 2) Lack of Vaccinations.
  • 3) Physical or Mental Disorders.
  • 4) Drug Abuse or Addiction.

What are class B diseases? ›

Let's take a closer look at a few examples of Class B medical conditions:
  • Inactive tuberculosis. While active tuberculosis is considered a Class A medical condition, inactive tuberculosis or latent tuberculosis is not. ...
  • Serious or permanent disabilities. ...
  • Terminal diseases. ...
  • Untreated medical conditions.

Do I need to submit i-693 with i-485? ›

First, the I-693 medical exam does not have to be submitted as part of the initial I-485 application — an I-485 filing will not be rejected as improperly filed for not including a I-693 medical exam documentation. The medical exam is, however, required before a I-485 can be approved.

What happens after I-693 deficiency notice? ›

Rather, the notice is reminding you that you will need to submit a completed and signed Form I-693 Medical Exam to USCIS in the future, either: (1) at your adjustment of status interview; or (2) if requested by USCIS through a Request for Evidence.

What does USCIS look for in a medical exam? ›

The medical examination will include a medical history review, physical examination, chest X-ray and blood tests for syphilis. The physical examination will at least include examination of the eyes, ears, nose and throat, extremities, heart, lungs, abdomen, lymph nodes and skin.

Does everyone need a medical exam for green card? ›

A.

Medical examination and vaccination requirements vary depending on the immigration benefit the person is seeking. Most applicants subject to medical grounds of inadmissibility must undergo a medical examination to determine their admissibility.

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