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Form I-693 Signed on or after Nov. 1, 2023, Do Not Expire

USCIS issued guidance regarding the evidentiary value of the Report of Immigration Medical Examination and Vaccination Record (Form I-693).

Certain noncitizens applying for immigration benefits, such as adjustment of status applicants, are required to file Form I-693 to show that they are not inadmissible under the health-related grounds. Since December 9, 2021, USCIS has considered a properly completed Form I-693 has evidentiary value for 2 years after the date the civil surgeon signed the Form.

What are the Updates to the Guidance on Form I-693?

The guidance regarding the evidentiary value of the Form I-693 was updated as follows:

  • Clarifies that a properly completed Form I-693 signed by a civil surgeon on or after November 1, 2023, retains its evidentiary value and does not expire.
  • Clarifies that a properly completed Form I-693 signed by a civil surgeon before November 1, 2023, continues to retain its evidentiary value for 2 years from the date of the civil surgeon’s signature.
  • Reiterates that USCIS officers have the discretion to request further evidence or a new or updated Form I-693, even if the original Form I-693 submitted is otherwise valid, if they have reason to believe the Form I-693 submitted does not accurately reflect the applicant’s medical condition.

This guidance became effective on April 4, 2024, and applies to all Form I-693 signed by the civil surgeon on or after November 1, 2023.

USCIS’ Policy Alert on the guidance can be found at this webpage.

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