Medical Exam Reports (I-693) Temporarily Accepted by USCIS If Older Than 60 Days

September 29, 2022 USCIS temporarily lifts its requirement that the medical exams that adjustment of status applicants submit on Form I-693 contain a physician's signature that's no more than 60 days old.

By , J.D.


The COVID-19 pandemic and subsequent delays in all manner of things made it difficult for immigrants living in the United States and applying for adjustment of status or "AOS" (leading to lawful permanent residence or a green card) to get their required medical examination done when needed. Among the basic application requirements was that the government-approved civil surgeon who performs the exam sign the Form I-693, Report of Medical Examination and Vaccination Record, no more than 60 days before applicants file for AOS. But meeting this requirement has been challenging.

In light of this problem, U.S. Citizenship and Immigration Services (USCIS) first temporarily lifted or "waived" its 60-day requirement, and then in March 2023, did away with the requirement altogether. Older exam reports will now be accepted and considered to contain valid information, according to USCIS's Policy Alert on this matter.

Effective Date: March 31, 2023