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USCIS Requires Fresh Medical Exam for All Green Card Applications

USCIS says the change safeguards public health by limiting I-693 form validity to the application with which it is filed

A man holds a United States Permanent Resident card, otherwise known as a Green Card. Image for illustration purposes only.
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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  • Any I-693 linked to a withdrawn or denied Form I-485 is now invalid, and applicants must submit a newly completed exam.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.