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


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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).

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