USCIS Policy Manual Update - Validity Period of Form I-693
USCIS is revising policy guidance for the validity period of Form I-693, Report of Medical Examination and Vaccination Record.
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The New Premium Processing - USCIS Stabilization Act
31 March 2022
| Forms |
Response Time |
Premium Processing Fee |
Expected Implementation Time |
|---|---|---|---|
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Most Form I-140 EB-1, EB-2, and EB-3 petitions |
Premium processing available for pending EB-1C, NIW I-140
USCIS Announces Premium Processing for Certain Previously Filed EB-1 and EB-2 Form I-140 Petitions
Employment-based Adjustment of Status Applicants: Send in Your Medical Forms ASAP for More Efficient Processing
U.S. Citizenship and Immigration Services (USCIS) plays a significant role in the processing of employment-based visas, and USCIS wants to ensure the center uses as many available visas as possible in fiscal year (FY) 2022, which ends on Sept. 30, 2022.
USCIS Temporarily Extending Validity Period of Form I-693
Release Date
08/12/2021
Beginning Aug. 12, U.S. Citizenship and Immigration Services 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:
USCIS Temporarily Waiving 60-Day Rule for Civil Surgeon Signatures
Release Date
12/09/2021
U.S. Citizenship and Immigration Services is temporarily waiving the requirement that the civil surgeon sign Form I-693, Report of Medical Examination and Vaccination Record, no more than 60 days before an applicant files an application for the underlying immigration benefit (including Form I-485, Application to Register Permanent Residence or Adjust Status), until Sept. 30, 2022.
Update to Form I-693, Report of Medical Examination and Vaccination Record
New edition dated 02/07/17. Starting 04/28/17, USCIS will only accept the 02/07/17 edition. Until then, you can use the 03/30/15 edition.
For more information, please visit Forms Updates page.
Update to Form I-693
USCIS recently updated the following form(s):
Update to Form I-693, Report of Medical Examination and Vaccination Record
02/27/2017 02:48 PM EST
USCIS Continues Accepting I-693 Form In Spite of 08/31/09 Expiration Date
USCIS will accept the I-693 medical exam form with the 06/05/08 revision date, in spite of the 08/31/09 expiration date. This will continue till OMB approves the revised form.
Guidance for Civil Surgeons Related to the COVID-19 Vaccine
As of Jan. 22, 2025, USCIS has waived any and all requirements that applicants for adjustment of status to that of a lawful permanent resident present documentation on their Form I-693, Report of Immigration Medical Examination and Vaccination Record, that they received the COVID-19 vaccination. USCIS will not issue any Request for Evidence or Notice of Intent to Deny related to proving a COVID-19 vaccination.
USCIS Announces Final Phase of Premium Processing Expansion for EB-1 and EB-2 Form I-140 Petitions and Future Expansion for F-1 Students Seeking OPT and Certain Student and Exchange Visitors
Release Date
01/12/2023
U.S. Citizenship and Immigration Services is implementing the final phase of the premium processing expansion for Form I-140, Immigrant Petition for Alien Workers, under the EB-1 and EB-2 classifications.
USCIS Releases Interim Policy Memo Inviting Comments On Extension of Validity of Medical Certifications on Form I-693
This Policy Memorandum (PM) temporarily extends the validity of civil surgeon endorsements on Form I-693 for adjustment of status applicants. Comments are due 1/30/12.
USCIS Announces New Guidance on Form I-693 Validity Period
Release Date:
04/04/2024
U.S. Citizenship and Immigration Services today announced (PDF, 317.28 KB) that any Form I-693, Report of Immigration Medical Examination and Vaccination Record, that was properly completed and signed by a civil surgeon on or after Nov. 1, 2023, does not expire and can be used indefinitely as evidence to show that the applicant is not inadmissible on health-related grounds.
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.
Extension of Validity of Medical Certifications on Form I-693
Form I-693 is normally valid for a period of one year from the date it was signed by the civil surgeon. In accordance with USCIS policy, in any case that is adjudicated on or before September 30, 2013, the officer will accept as valid a Form I-693 that was signed more than one year before the date of the adjudication of a pending adjustment of status or temporary residence application if the following conditions are met:
• Form I-693 was included with the initial filing of the adjustment of status or temporary residence application; and
Naturalization eligibility for recently extended absences over six months and less than one year from the U.S.
Question details
My father is a green card holder (five years, three months now). He has spent 33 months in the US in the last five years and for 6 months every calendar year. The issue is that on two of his most recent trips, he was out of the US for nine months, six weeks, and 11 days.
He has always been retired and has not held a job in the US or abroad. His daughter and family continued to stay in the US during these trips. He does not own a house in the US but stays with his daughter and her family and continues to have access to that residence during these trips. He does own property in India and has continued to hold that same property over the last five years. His trips abroad were to visit his other children.
What are the rough chances of "rebutting the presumption of break of continuous presence", if he applies for naturalization, despite these two trips of 9 months and 6 months two weeks ? Would you recommend going through a lawyer ?
Regarding the 9-month absence that is being questioned, if he doesn't own a house but still has access to the residence, it should be acceptable as long as there's a valid explanation for his absence of more than six months. This situation has occurred before. For example, if he couldn't return due to reasons like COVID-19, health issues, or similar circumstances, as long as these reasons are clearly explained, it should be acceptable.
FAQ Transcript
Regarding the 9-month absence being questioned, if he doesn't own a house but still has access to the residence, it should be acceptable if there's a valid explanation for his absence of more than six months. This situation has occurred before. For example, if he couldn't return due to reasons like COVID-19, health issues, or similar circumstances, it should be acceptable if these reasons are clearly explained.
I-693, Report of Medical Examination and Vaccination Record
- Form I-693 (1.48 MB PDF)
- Instructions for Form I-693 (301 KB PDF)