When applying to adjust status to become a lawful permanent resident you must have Form I-693, Report of Immigration Medical Examination and Vaccination Record completed by a civil surgeon authorized by USCIS. This form is used to show immigration that you are not inadmissible to the United States on public health grounds.
Recently, USCIS released some new guidance on this form. Here are some key points to remember:
Form I-693 properly completed and signed by a civil surgeon on or after November 1, 2023
These forms will not expire. This means they can be used indefinitely with the caveat that USCIS officers have discretion to request more evidence or a new or updated form if they have reason to believe the applicant’s medical condition has changed since the civil surgeon signed the form.
Form I-693 properly completed and signed by a civil surgeon before November 1, 2023
These forms will be valid for a period of two years from the date the civil surgeon signed the form except for forms filed by Operation Allies Welcome parolees which are valid for three years. After that, a new form will be required.
Discretion lies with USCIS
Ultimately, USCIS reserves the right to request new evidentiary information or a completely new I-693 form. The key factor is whether or not USCIS believes that the applicant has provided them with the most current health status and vaccination information.
USCIS can also request a new I-693 form should there be any questions regarding the validity of signatures or other information.
Immigration laws can be complex and this is not something that you want to navigate on your own. Having legal guidance on your side can help ensure that you provide all of the relevant and current information- which increases your odds of a successful outcome in your case.