USCIS Extending Validity Period of Form I-693, Report of Medical Exam from 2 to 4 years

Due to delays in processing caused by the COVID-19 pandemic, USCIS is temporarily extending the validity period for Form I-693, Report of Medical Examination and Vaccination Record, from two years to now four years due to COVID-19-related delays in processing.

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.

USCIS is making this temporary change because COVID-19 has caused processing delays and affected applicants’ ability to complete the required immigration medical examination. Previously, USCIS considered a completed Form I-693 to retain its validity for two years after the date the civil surgeon signed, as long as the date of the civil surgeon’s signature was no more than 60 days before the applicant filed for adjustment of status.