USCIS amends guidance for Adjustment of Status medical exams
Monday 9 December 2024
USCIS announced that effective 2 December 2024, it will require I-485 Adjustment of Status applications to be submitted with the required medical exam (Form I-693, Report of Immigration Medical Examination and Vaccination Record). The Service has stated that Form I-485 may be rejected if the medical exam is not included with the initial filing. This is a significant departure from historic guidance permitting the medical exam to be submitted after filing following a request for evidence.
Any Form I-693 that was properly completed and signed by a civil surgeon on or after 1 November 2023, does not expire. Form I-693 completed and signed by a civil surgeon before 1 November 2023, are valid for 2 years.
If you currently have a pending I-485 application, and you have yet to submit your Form I-693, Report of Immigration Medical Examination and Vaccination Record to USCIS, we urge you to wait until USCIS issues you a request for additional evidence (RFE) to submit the form. However, for all new I-485 forms submitted the medical exam should be included in the initial filing.
Should you have any questions or wish to speak with an attorney about your I-485 filing, please email equiries@lauradevine.com or contact your designated Laura Devine Immigration attorney.

Christi Jackson
Partner and Head of the US Practice

Nella Fabrikarakis
Senior Paralegal
Latest Insights
15 October 2025
Home Office publishes Statement of Changes in Immigration Rules HC 1333
Yesterday, the Home Office published the Statement of Changes in Immigration Rules (HC 1333). The Statement, the sixth of the year, introduces a…
29 September 2025
Matthew Wills quoted in The Scottish Herald on Reform UK’s proposal to abolish indefinite leave to remain
Matthew Wills (Partner) has been quoted by The Scottish Herald in an article discussing the potential impacts of Reform UK's proposal to abolish…
29 September 2025
Natasha Chell quoted in Times Higher Education on proposed international student fee levy
Natasha Chell (Partner and Head of Risk and Compliance) has been quoted in Times Higher Education in an article discussing the Government's proposed…
