USCIS Changes Validity Period for Any Form I-693 Signed on or after Nov. 1, 2023

We are updating Volume 8 of the USCIS Policy Manual to clarify that a Form I-693, Report of Immigration Medical Examination and Vaccination Record, signed by a civil surgeon on or after Nov. 1, 2023, is only valid while the application the Form I-693 was submitted with is pending. If the application a Form I-693 was submitted with is withdrawn or denied, that Form I-693 is no longer valid. This guidance is effective immediately and applies to applications pending or filed on or after June 11, 2025.

Under this updated policy, if an alien submitted Form I-693 with their Form I-485, Application to Register Permanent Residence or Adjust Status, and then they withdrew their Form I-485 or we denied it, then if they submit a future Form I-485, they must submit a newly completed Form I-693 signed by a civil surgeon.

Most aliens subject to health-related grounds of inadmissibility must have an immigration medical examination to demonstrate they are not inadmissible. In general, aliens applying to adjust status must submit Form I-693 to show they are free from any conditions that would render them inadmissible under the health-related grounds of inadmissibility. We may require an alien who would otherwise not be required to undergo an immigration medical examination to submit a Form I-693 as a matter of discretion, if the evidence indicates that there may be a public health concern.

On April 4, 2024, we updated the USCIS Policy Manual to provide that a Form I-693 properly completed and signed by a civil surgeon on or after Nov. 1, 2023, was valid indefinitely. This allowed an alien to use that Form I-693 as evidence they were not inadmissible on health-related grounds for the purpose of any future immigration benefit application.

On Dec. 2, 2024, we published a requirement that aliens submit Form I-693 when they file Form I-485.

We have since determined that the April 4, 2024, policy is overly broad and could potentially threaten public health in the United States. By limiting the validity period to only the current immigration benefit application or request, we ensure that aliens get timely and proper medical examinations and treatment, which safeguards public health.