Newly Updated Form I-693 is required for Green card Applications on or after June 11, 2025

Today, United States Citizenship and Immigration Services (USCIS) announced that a requirement must be met that every green card application (LPR application or adjustment of status based on Form I-485) requires a renewed medical examination form, after applicants were previously allowed to use the form indefinitely.

Generally, the applicants applying for an adjustment status must submit Form I-693 to show they are free from any health conditions that would be inadmissible based on health-related grounds. However, USCIS has discretionary authority that the applicants must complete an immigration medical examination or submit a Form I-693, if the evidence indicates that there may be public health concern.

Today, USCIS clarified that the previous submitted Form I-693 is only valid while the application is pending with USCIS. If the application shows withdrawn or denied, that Form I-693 submitted is no longer valid, and it applies to I-485 applications pending or filed on or after June 11, 2025. Specifically, if the applicant submits a Form I-485 on or after June 11, 2025, they must submit a newly completed Form I-693 signed by a civil surgeon.

According to USCIS, they published a requirement on December 02, 2024, that applicants must submit Form I-693 when they file Form I-485. Today, USCIS determined that the previous policy, regarding to submit Form I-693, was overly broad and could potentially threaten public health in the United States. This policy could directly impact the I-485 applicants currently applying for adjustment of status, who would have been allowed to use a previous form until June 10, 2025.