Overview
- The requirement took effect June 11, 2025, affecting all pending and newly filed adjustment of status applications.
- Any I-693 linked to a withdrawn or denied Form I-485 is now invalid, and applicants must submit a newly completed exam.
- USCIS determined that the prior policy allowing indefinite form use could threaten U.S. public health without timely medical screenings.
- A revised version of Form I-693 will become mandatory on July 3, 2025, to align with the updated guidance.
- COVID-19 vaccination documentation is no longer required for medical exams associated with adjustment applications pending as of January 20, 2025.