USCIS I-693 medical exam validity New Rules
The U.S. Citizenship and Immigration Services (USCIS) has announced a critical policy change affecting green card applicants: Form I-693 (Report of Medical Examination and Vaccination Record) now has a reduced validity period. So Read about USCIS I-693 medical exam validity.
This update, effective in 2025, impacts thousands of applicants filing for adjustment of status (AOS). Missing the new deadline could lead to RFE (Request for Evidence) delays or denials.
In this guide, we’ll cover:
✔ What changed with the I-693 validity period?
✔ Why did USCIS make this change?
✔ How to time your medical exam correctly in 2025
✔ FAQs and expert tips to avoid mistakes
1. What Is Form I-693?
Form I-693 is a mandatory medical examination report required for:
- Green card applicants (adjustment of status).
- Certain visa applicants (e.g., K-1 fiancé visa).
The exam must be conducted by a USCIS-approved civil surgeon and includes:
- Vaccination verification (MMR, COVID-19, flu shot, etc.).
- TB testing (tuberculosis screening).
- Physical and mental health evaluation.
2. What Changed in 2025?
Old Rule (Before 2025)
- I-693 was valid for 2 years after the civil surgeon signed it.
- Applicants could submit it anytime before the green card interview.
New Rule (2025 Update)
- I-693 validity reduced to 6 months from the civil surgeon’s signature date.
- Must be submitted within 60 days of the doctor signing.
- USCIS must receive it before a decision is made on your case.
Reason for Change:
USCIS states this ensures medical records remain up-to-date and accurate, reducing fraud risks and health concerns.
3. How This Affects Green Card Applicants
A. Adjustment of Status (AOS) Applicants
- Previously: Could complete the medical exam early (e.g., with I-485 filing).
- Now: Must time the exam closer to the interview to avoid expiration.
B. Visa Applicants (Consular Processing)
- DS-3025 (vaccination form) still used abroad, but I-693 required if adjusting status later.
C. Pending Applications (Filed Before 2025)
- Grandfathered under old 2-year rule if already submitted.
4. Step-by-Step Guide to Comply in 2025
Step 1: Wait for USCIS to Request the Exam
- Do NOT complete the exam too early (risk expiration).
- Ideal timing: After receiving interview notice.
Step 2: Find a USCIS-Authorized Civil Surgeon
- Use the USCIS doctor search tool.
Step 3: Complete the Exam & Submit Fast
- Submit within 60 days of the doctor’s signature.
- USCIS must receive it within 6 months of signing.
Step 4: Bring a Copy to Your Interview
- Officers may request it even if already submitted.
5. Common Mistakes to Avoid
❌ Getting the exam too early (expires before interview).
❌ Using an uncertified doctor (rejection risk).
❌ Missing vaccinations (causes RFE delays).
❌ Waiting until the last minute (doctor backlogs happen).
6. FAQs About USCIS I-693 medical exam validity
1. Can I reuse an old I-693?
Only if it was signed less than 6 months ago (new rule) or 2 years ago (old rule for pre-2025 filings).
2. What if my exam expires before the interview?
You’ll get an RFE (Request for Evidence) and must redo the exam.
3. Does this affect K-1 visa holders?
Yes, if adjusting status after marriage.
4. Are COVID-19 vaccines still required?
Yes, unless exempt for medical/religious reasons.
5. Can I expedite my medical exam?
No, but schedule as soon as you get your interview notice.
7. Expert Tips for a Smooth Process
✔ Track your case status via USCIS.gov.
✔ Confirm vaccine records before the exam.
✔ Choose a surgeon with fast turnaround times.
✔ Keep a copy of the sealed envelope.
Conclusion
The 2025 USCIS medical exam validity reduction adds complexity to green card applications—but with proper timing, you can avoid delays.
Key Takeaways:
- I-693 now expires in 6 months (down from 2 years).
- Submit within 60 days of the doctor’s signature.
- Wait for your interview notice before scheduling.
Need Help? Consult an immigration attorney if your case is time-sensitive.
Did USCIS request your medical exam? Share your experience in the comments!
Further Reading:
Written by Asif, an experienced researcher helping People’s to navigate visas and work abroad opportunities.
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