One of the main requirements for those wishing to apply for an immigrant visa or adjustment of status is filing Form I-693, Report of Medical Examination and Vaccination Record. This form verifies that the applicant has had the required medical examination by a licensed civil surgeon and indicates whether the applicant has any health issues that would prevent them from entering the country legally.

How long is this I-693 medical exam truly valid for immigration reasons is a frequently asked question. There are crucial expiration dates to remember because, after all, medical issues might change over time. Let’s examine the essential information regarding the I-693’s validity period.

Two-Year General Validity Period

Generally speaking, the medical examination that is recorded on the I-693 is good for two years after the civil surgeon completes the examination and signs the paperwork. Regardless of whether you are seeking for an immigrant visa from outside the United States or altering your status from within, this two-year timeframe is applicable.

Therefore, the results of your medical exam should be accepted by the United States provided that it was performed no more than two years ago at the time of completing your immigration application or appearing for the interview with the National Visa Center (NVC) or Citizenship and Immigration Services (USCIS).

However, depending on your particular immigration circumstances, there may be some significant exclusions and restrictions to be aware of.

One-Year Validity for Adjustment of Status

There is a little bit more leeway to those who apply from within the US to change their status to permanent residency. In this instance, the I-485 Application to Register Permanent Residence or Adjust Status must have been filed no later than one year after the completion of the medical examination.

This means that even though the total duration is still two years from the exam date, candidates have the one-year window to submit their exam results as part of the original I-485 application package.

Medical Conditions Affecting Validity

The I-693 guidelines additionally list some exclusions based on the applicant’s unique medical problems discovered during the exam, in addition to those basic timeframes:

Class A Conditions – Exam never expires

No matter when the exam was finished, the civil surgeon’s finding remains valid if they found a Class A medical condition—like a communicable disease—that could prevent the applicant from being admitted. The entire application process needs to take care of the problem.

Class B Conditions – Validity until resolved

Only until the Class B condition is resolved by treatment is the I-693 valid for Class B medical conditions that do not constitute grounds for inadmissibility. The results may be valid for two years after the condition is resolved; however, if the condition persists after two years, a fresh exam will be necessary.

Ensuring a Properly Completed I-693

In addition to meeting deadlines, the civil surgeon must accurately fill out all sections of the I-693 form and attach the required date stamps and signatures. Inaccuracies or omissions on the form could render the entire medical examination void and cause delays in processing.

Upon receiving the civil surgeons completed I-693, carefully go over it to make sure:

– Every section of the medical examination is completed.
– There is the entire name and signature of the civil physician.
– Included is the physician’s seal or stamp.
– Every date is filled in, including the exam date.

It is recommended that any difficulties found be discussed with the civil surgeon prior to submitting the completed I-693 to immigration authorities.

Updated Guideline by USCIS

Based on developments in public health electronic notification and in collaboration with the Centers for Disease Control and Prevention (CDC), USCIS has determined that, provided a Form I-693 is properly completed and signed by a civil surgeon on or after November 1, 2023, its evidentiary value should not be restricted by a time frame. If USCIS immigration officers have reason to believe that the applicant’s medical condition has changed since the civil surgeon signed the Form I-693, they may request updated documentation or additional evidence, which could result in the applicant’s inadmissibility due to health-related grounds.

Furthermore, the prior regulation is still in force if an applicant’s medical examinations were completed before to November 1, 2023. Civil surgeons were not required to electronically transmit or submit specific information to the CDC prior to this date. Simultaneously, USCIS has concluded, after consulting with the CDC, that a correctly filled-out Form I-693 signed by a civil physician on or before November 1, 2023, has two years’ worth of authenticity. Form I-693 filed by Operation Allies Welcome parolees, on the other hand, are exempt from this clause since they are still valid as evidence for three years after the civil surgeon signs them.

Stay On Top of Validity Periods

Ensuring that the I-693 is correctly completed and meeting all deadlines is essential to the  progression of your immigration application. You can get a lot of assistance from an expert immigration lawyer to aid you with this process.

Should your present exam expire prior to your upcoming interview or case milestone, your attorney can provide you with guidance on promptly completing a new exam. Additionally, they are able to recognize any Class A or B conditions that call for more paperwork or pose a danger of being found inadmissible.

A successful immigration medical exam experience depends on keeping track of the necessary validity periods and taking early measures to resolve any medical concerns. You may make sure your I-693 is approved and your application proceeds without undue delay by carefully planning ahead.


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