USCIS Now Requires Report of Immigration Medical Examination and Vaccination Record to be Submitted with Form I-485 for Certain Applicants

Release Date 

12/02/2024

USCIS now requires certain applicants filing Form I-485, Application to Register Permanent Residence or Adjust Status, to submit Form I-693, Report of Immigration Medical Examination and Vaccination Record, with their Form I-485 or the Form I-485 may otherwise be rejected.

Applicants for adjustment of status generally must complete an immigration medical examination and all required vaccinations and submit a properly completed Form I-693 signed by a civil surgeon to show they are free from health conditions that would render them inadmissible under the health-related grounds.

If you are required to submit Form I-693, or a partial Form I-693 (such as the Vaccination Record), you must submit it with your Form I-485. Otherwise, USCIS may reject your Form I-485. USCIS has revised the Form I-485 instructions to make filing the two forms together a requirement.

USCIS has made this change to reduce the number of Requests for Evidence USCIS issues before adjudicating a Form I-485.

Additional information on the immigration benefits that require an immigration medical examination and vaccinations, and whether a civil surgeon or panel physician should conduct the immigration medical examination is available in Vol. 8, Part B, Chapter 3 - Applicability of Medical Examination and Vaccination Requirement of the USCIS Policy Manual.