On December 2, 2024, U.S. Citizenship and Immigration Services (USCIS) announced that it is now requiring certain applicants filing Form I-485, Application to Register Permanent Residence or Adjust Status, to submit Form I-693, Report of Immigration Medical Examination and Vaccination Record, with their Form I-485 or the Form I-485 may be rejected.
USCIS explained that applicants for adjustment of status generally must complete an immigration medical examination and all required vaccinations and submit a properly completed Form I-693 signed by a civil surgeon to show that they are free from health conditions that would render them inadmissible under the health-related grounds.
USCIS said it has made this change “to reduce the number of Requests for Evidence we issue before adjudicating a Form I-485.”