USCIS Revises Validity Period for Form I-693 Medical Examination Report

USCIS Updates Form I-693: Medical Exam Report

USCIS has updated its Medical Exam Report policy, limiting the report’s validity to active applications. Previously, USCIS allowed exams signed on or after November 1, 2023, to be considered indefinitely valid, even if that application was withdrawn or denied. The update confirms that exams signed on or after November 1, 2023, remain valid only while the associated Form I-693 application is pending. If the underlying application is withdrawn or denied, the medical exam report will no longer be valid.

Rejected forms do not require a new medical and Form I-693 can be submitted as is.

This policy update applies to all applications pending or filed on or after June 11, 2025.

Why the Change to the Medical Exam Report Form?

• Enhanced record-keeping: USCIS, in coordination with the CDC, recognized that modern tracking systems make long-term medical exam records reliable.
• Simplification: Removing the two-year expiry means applicants won’t need to repeat examinations unnecessarily.

What’s Still in Place?

• Pre‑November 1, 2023, reports: Exams dated before this cutoff still carry a two‑year validity from the surgeon’s signature date.
• USCIS discretion applies: Immigration officers may request a new Form I‑693 if there are concerns—such as possible changes in medical condition or incomplete information.

What Do You Need to Do?

• If your medical exam was signed on or after November 1, 2023, no need to redo it – unless USCIS flags something unusual.
• If signed before that date, double-check that it’s still within its two-year validity.