As of June 1, medical examination reports (I-693) submitted by applicants in support of a benefit application will be only valid for one year from the time of the civil surgeon’s signature and submission to U.S. Citizenship and Immigration Services (USCIS). In other words, the report must be submitted to USCIS within one year of the complete examination and the application must be adjudicated within one year after the date the report was submitted to USCIS. Medical exam reports are most commonly submitted in support of I-485 adjustment of status applications. Previously, since about 2002, USCIS had agreed to extend the validity of the civil surgeon’s I-693 endorsement until the time of adjudication, because of backlogs in certain preference categories. While the new policy means that some applicants must undergo another medical exam before their case is adjudicated, the good news is that medical examination forms will no longer be required as initial evidence and may be submitted at any time after filing the immigration benefit application but prior to adjudication. If the medical examination form is not filed concurrently, USCIS encourages applicants to wait until the medical examination form is requested by USCIS, either through the issuance of a Request for Evidence (RFE) or through a notice to bring a completed medical examination form to the interview. This policy change was made in response to concerns raised by the Centers for Disease Control.
In the meantime, and in anticipation of this policy change, USCIS has been sending RFEs to applicants notifying them that their medical reports filed in support of their adjustment applications are about to exceed the validity period. Moving forward, RFEs for new medical examinations will only be issued shortly before it is anticipated that the case can be adjudicated to completion.