On June 11, 2025, U.S. Citizenship and Immigration Services (USCIS) announced that it is updating its USCIS Policy Manual to clarify that a Form I-693, Report of Immigration Medical Examination and Vaccination Record, signed by a civil surgeon on or after November 1, 2023, is only valid while the application with which the Form I-693 was submitted is pending. If that application is withdrawn or denied, the Form I-693 is no longer valid. USCIS said this guidance is effective immediately and applies to applications pending or filed on or after June 11, 2025.
USCIS noted that under this updated policy, if a person submitted Form I-693 with their Form I-485, Application to Register Permanent Residence or Adjust Status, and then they withdrew their Form I-485 or USCIS denied it, if they submit a future Form I-485, they must submit a newly completed Form I-693 signed by a civil surgeon.
USCIS also said that it may require a person who otherwise would not be required to undergo an immigration medical examination “to submit a Form I-693 as a matter of discretion, if the evidence indicates that there may be a public health concern.”
