Skip to main content

USCIS revises validity of Form I-693, Report of Medical Examination and Vaccination Record

  1. Original Date Announced

    October 16, 2018

    USCIS issued a policy alert notifying the public that it is updating the USCIS Policy Manual regarding the period of time during which a Form I-693 submitted in support of a related immigration benefits application is considered valid. Specifically, USCIS is updating the way the current maximum 2-year validity period is calculated to enhance operational efficiencies and reduce the need to request updated Form I-693 from applicants. Form I-693 is now valid only when a civil surgeon signs it no more than 60 days before the date an applicant files the application for the underlying immigration benefit and when USCIS adjudicates the application within 2 years from the date of the civil surgeon’s signature. [ID #634]

    USCIS Policy Alert 2018-09
  2. Effective Date

    November 1, 2018
  3.  
  4. Biden Administration Action: Modified

    August 12, 2021

    2021.08.12 USCIS Temporarily Extending Validity Period of Form I-693.pdf

    This Biden administration action modifies the Trump-era policy identified in this entry.

    On August 12, 2021, USCIS announced that due to COVID-19-related processing delays, they are extending the validity period of Form I-693 from two years to four years. This is a temporary extension. Specifically, USCIS may consider a completed Form I-693 as valid if:

    • The civil surgeon’s signature is dated no more than 60 days before the applicant filed Form I-485, Application to Register Permanent Residence or Adjust Status;
    • No more than four years have passed since the date of the civil surgeon’s signature; and
    • A decision on the applicant’s Form I-485 is issued on or before Sept. 30, 2021.
    View Document
  5. Biden Administration Action: Modified

    December 9, 2021

    2021.12.09 Temporary Waiver of “60-Day Rule” for Report of Medical Examination and Vaccination Record (Form I-693)

    This Biden administration policy temporarily waives the Trump-era policy identified in this entry.

    On December 9, 2021, citing the ongoing COVID-19 pandemic and related processing delays, USCIS announced a temporary waiver until September 30, 2022, of the "60-day rule" which had required that the civil surgeon’s signature on an otherwise valid Form I-693 be dated no more than 60 days before the applicant files the application for the underlying immigration benefit.

    View Document

Current Status

Partially in effect
August 12, 2021
Acted on by Biden Administration
December 9, 2021
Acted on by Biden Administration

Original Trump Policy Status

Status: Final/Actual
Subject Matter: Immigrant Visas
Agencies Affected: USCIS

Pre Trump-Era Policies

  • May 30, 2014

    The I-693 medical exam was valid for one year from the date of submission to USCIS. Additionally, the I-485 applicant had to submit the I-693 medical exam within one year of the actual medical exam date.

    USCIS Policy Alert 2014-005

We require registration to leave feedback. You may either:

  • Sign in with your current user name and password.

  • Register if you don't have a user name and password.