MEDICAL EXAMINATION – ADJUSTMENT OF STATUS
Applicants for permanent residence in the U.S. are required to undergo a medical examination. In the course of medical examination, it is determined whether an applicant has required vaccinations and certain deceases from the list. Upon completion, a civil surgeon provides the applicant with a sealed envelope with completed Form I-693 inside. To preserve the validity of the medical examination, the applicant should not open the sealed envelope. The sealed envelope can be submitted concurrently with the application for adjustment of status I-485 or later. An applicant can also bring I-693 to the interview.
PERIOD OF VALIDITY OF MEDICAL EXAMINATION UNDER THE NEW REGULATION
Please see the policy here.
General Rule: Medical examination continues to be valid when:
- The civil surgeon signs I-693 no more than 60 days before the date when the applicant files the application for the adjustment of status, and
- USCIS adjudicates the submitted application within two years from the date of the civil surgeon’s signature.
A Form I-693 submitted to USCIS more than one year after the date of the civil surgeon’s signature does not have its evidentiary value.
Exceptions for medical examinations submitted to USCIS before November 1, 2018. Results of such medical examinations stay effective when:
- The civil surgeon signs I-693 more than 60 days before the applicant files the adjustment of status, but the applicant submits I-693 to USCIS no more than one year after the civil surgeon signed I-693, and USCIS issues a decision on the underlying benefit application no more than one year after the date the applicant submitted I-693 to USCIS.
- The applicant submits I-693 after the applicant files the application with USCIS, and USCIS issues a decision on adjustment of status no more than two years after the date of the civil surgeon’s signature.
- The civil surgeon signs I-693 no more than 60 days before the applicant files the adjustment of status, and USCIS issues a decision on the underlying benefit application no more than two years after the date of the civil surgeon’s signature.
Before November 1, 2018, Form I-693 retained its evidentiary value as long as it was submitted to USCIS within one year of the civil surgeon’s signature and USCIS issued a final decision on the underlying immigration benefit application within a year of the Form I-693’s submission to USCIS.
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