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
8 June 2026
Zeena Luchowa quoted in Global Mobility Lawyer magazine on the use of AI in immigration
Partner Zeena Luchowa has been quoted in a Global Mobility Lawyer magazine article covering the use of AI in UK immigration systems, particularly in…
28 May 2026
US citizenship pathway for children living abroad: Understanding INA 322
Many families with one or more US citizen parents are familiar with the rules governing the transmission of US citizenship at birth when their…
20 May 2026
UK immigration update: Home Office U-turn on expansion of right to work regime for sponsors
Today, the Home Office has reversed the recent expansion of the right to work regime.
