Alert: USCIS Change to I-693 Medical Exam Submission Rules

Updated: December 5, 2024

While USCIS previously allowed Form I-485 to be submitted without a complete Form I-693, Report of Immigration Medical Examination and Vaccination Record, they changed that rule as of December 2, 2024, and now require that adjustment of status applicants submit the medical exam at the time of submission of Form I-485.

For applicants who are required to submit Form I-693 or a partial Form I-693 (such as the Vaccination Record for applicants who entered on K visas), USCIS will reject Form I-485 if the completed medical exam is not submitted concurrently with Form I-485, Application to Register Permanent Residence or Adjust Status.

While preparing their I-485 application for submission to USCIS, applicants should remember to plan ahead with their medical exam, as it can commonly take 2 or more weeks for the medical exam to be completed. Some civil surgeons have wait times that exceed a month for the initial appointment. Researching the prices and timelines of local Civil Surgeon offices early on in the preparation process is recommended to help avoid potential filing delays.

For more information on scheduling and completing a medical exam, read this article.

For more information about USCIS's change, read their announcement.