Key Points
- USCIS now limits the validity of Form I-693 to pending applications only
- Exams signed on or after November 1, 2023, are no longer valid if the application is withdrawn or denied
- New policy takes effect for all applications pending or filed on or after June 11, 2025
USCIS Updates Form I-693: Medical Exam Report
The United States Citizenship and Immigration Services (USCIS) has updated its Medical Exam Report policy, limiting the validity of the report to active applications. Previously, USCIS allowed exams signed on or after November 1, 2023, to be considered indefinitely valid, even if that application was withdrawn or denied. The update confirms that exams signed on or after November 1, 2023, remain valid only as long as the associated Form I-693 application is pending. If the underlying application is withdrawn or denied, the medical exam report will no longer be valid.
Rejected forms do not require a new medical, and Form I-693 can be submitted as is.
This policy update applies to all applications pending or filed on or after June 11, 2025.
Why the Change to the Medical Exam Report Form?
- Enhanced record-keeping: USCIS, in coordination with the Centers for Disease Control and Prevention (CDC), recognized that modern tracking systems make long-term medical exam records reliable.
- Simplification: Removing the two-year expiry means applicants won’t need to repeat examinations unnecessarily.
What’s Still in Place?
- Pre-November 1, 2023, reports: Exams dated before this cutoff still carry a two-year validity from the surgeon’s signature date.
- USCIS discretion applies: Immigration officers may request a new Form I-693 if they have concerns, such as potential changes in medical condition or incomplete information.
What Do You Need to Do?
- If your medical exam was signed on or after November 1, 2023, there is no need to redo it unless USCIS flags something unusual.
- If signed before that date, double-check that it’s still within its two-year validity.
Content in this publication is for informational purposes only and not intended as legal advice, nor should it be relied on as such. If you want guidance on how this information may impact your particular situation and are a client of the Corporate Immigration Partners, PC, consult your attorney. If you are not a CIP client, consult another qualified professional. This website does not create an attorney-client relationship with CIP.
