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


Christi Jackson writes for the BBC and iNews on the Trump administration’s travel ban

Christi Jackson has been interviewed for the BBC and iNews on Trump's travel ban

US Policy Shifts on International Student Visas Create Widespread Uncertainty

In recent weeks, the Trump administration has taken several actions that significantly impact international students, exchange visitors, and the…

White Paper introduces tough immigration proposals – analysing the impact on the advanced manufacturing sector

Advanced manufacturing is a sector identified as being prioritised for growth in the UK.

Immigration Services


UK Immigration

US Immigration

News

Laura Devine Solicitors Limited trading as Laura Devine Immigration is registered in England and Wales as a limited company (8651204) at 100 Cannon Street, London EC4N 6EU. Partner is a term used by us to describe a director in the limited company. Authorised and regulated by the Solicitors Regulation Authority (648320).

Privacy Preference Center