USCIS Revises Validity of Immigration Medical Exams

On June 11, 2025, USCIS announced a key update to its policy concerning the Form I-693, Report of Medical Examination and Vaccination Record. The agency clarified that any Form I-693 signed by a civil surgeon on or after November 1, 2023, will only be valid as long as the underlying application—typically Form I-485, Application to Register Permanent Residence or Adjust Status—remains pending. If that I-485 application is withdrawn or denied, the Form I-693 associated with it will no longer be valid and cannot be reused for future filings.

This updated policy, which is effective immediately, applies to both currently pending and newly submitted applications. In practical terms, it means that individuals whose green card applications are rejected or withdrawn must complete a new medical exam and submit a newly signed Form I-693 if they choose to reapply in the future. Additionally, USCIS has noted that it may request a Form I-693 at its discretion in certain cases, such as when there is evidence of a possible public health issue. Applicants should take care to time their medical exams appropriately and retain clear documentation throughout the adjustment process.