USCIS update

In a notable policy update, U.S. Citizenship and Immigration Services (USCIS) has made a significant change to the validity period of civil surgeon signatures on USCIS Form I-693, Report of Immigration Medical Examination, and Vaccination Record. This update, effective from March 31, 2023, extends the validity of these signatures, simplifying the immigration medical examination process.

The End of the 60-Day Rule

Previously, on December 9, 2021, USCIS had temporarily waived the requirement that the civil surgeon’s signature on Form I-693 must be dated within 60 days before filing Form I-485, Application to Register Permanent Residence or Adjust Status. The latest update builds on this, removing the 60-day rule entirely. USCIS will now accept Form I-693 if it is signed by a civil surgeon up to two years prior to the filing of Form I-485.

Implications of the Policy Change

This policy change is expected to streamline the processing of Form I-485. By extending the validity of the civil surgeon’s signature:

  1. Applicants have a broader window to complete their medical examinations without worrying about the timing in relation to their Form I-485 submission.
  2. USCIS can reduce the number of Requests for Evidence (RFEs) issued due to expired Form I-693 signatures, leading to more efficient case processing.


The extension of the validity period for civil surgeon signatures on Form I-693 is a positive step towards improving the efficiency of the immigration process. This change alleviates some of the timing pressures for applicants and helps USCIS in reducing unnecessary administrative burdens.

US Immigration Updates

Read the full USCIS Policy Update Here

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