Form I-693 Validity Period

U.S. Citizenship and Immigration Services (USCIS) announced on April 4, 2024, that Form I-693, Report of Immigration Medical Examination and Vaccination Record, will now have an indefinite validity period if properly completed and signed by a civil surgeon on or after November 1, 2023. This is a substantial shift from the previous policy, easing the immigration process for many applicants.

Background and Rationale

Traditionally, Form I-693 was a critical document for immigration applicants, proving they were not inadmissible on health-related grounds. However, the form’s validity was previously capped, requiring applicants to navigate the cumbersome process of re-submission if their application extended beyond the validity period.

This change follows extensive consultation with the Centers for Disease Control and Prevention (CDC) and leverages advances in public health electronic notification systems. The decision underlines USCIS’s commitment to adopting more efficient and technologically savvy processes, ensuring health-related inadmissibility decisions are based on the most current and comprehensive information.

Key Policy Updates

  1. Indefinite Validity: Forms I-693 signed on or after November 1, 2023, do not expire. This applies universally, except for cases where USCIS officers suspect changes in the applicant’s health condition that could affect their admissibility.
  2. Discretionary Requests for New Evidence: USCIS officers can request additional evidence or an updated Form I-693 if there’s reason to believe an applicant’s medical condition has changed or if the form does not accurately reflect their current medical condition.
  3. Transition Policy: Forms completed and signed before November 1, 2023, will continue to follow the previous validity rules — two years from the date of the civil surgeon’s signature, except for Operation Allies Welcome parolees, whose forms remain valid for three years.

Implications for Applicants

This update simplifies the immigration process for many, removing the need to undergo repeated medical examinations due to procedural timelines. Applicants can now focus more on other aspects of their immigration journey, assured that their medical examination results will not require renewal during the application process.

However, applicants should remain mindful of the discretionary power USCIS officers retain. The integrity of the medical examination and its reflection of the applicant’s current health status are paramount. As such, maintaining up-to-date health records and being prepared to provide additional information if requested by USCIS is advisable.

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