Published April 3, 2023
As of March 31, 2023, USCIS has removed the rule requiring the civil surgeon’s signature on Form I-693 to be completed no more than 60 days before the applicant submits the underlying immigration application, including Form I-485, Application to Register Permanent Residence or Adjust Status.
With the removal of this rule, applicants can now submit medical exams with their underlying application, even if the civil surgeon signed the exam more than 60 days before the submission. The medical exams, Form I-693, will now only be subject to their 2-year validity period from the time of signature to adjudication by USCIS.
USCIS states that “This policy update will allow USCIS to adjudicate cases with immigration medical examinations that would previously have been considered invalid. Rather than issuing Requests for Evidence (RFEs) for Form I-693 signed more than 60 days before the filing of the I-485, but otherwise valid, we will be able to accept these Forms I-693 for adjudicative purposes for up to 2 years after the date the civil surgeon signed the form.”