USCIS recently announced a significant policy shift regarding the validity of this form, impacting many applicants. Effective immediately, and applying to applications pending or filed on or after June 11, 2025, USCIS has reversed its previous indefinite validity policy for certain I-693 forms. This means that an immigrant medical exam expiration is back on the table if your application is withdrawn or denied. It’s crucial for anyone undergoing the Green Card application medical process to understand this latest update.

The Evolving I-693 Validity Policy

To understand the current change, let’s briefly look at the recent history of I-693 validity:

• Before November 1, 2023: Generally, a Form I-693 was valid for two years from the civil surgeon’s signature date.
• April 4, 2024 Policy Update: USCIS announced that any Form I-693 properly completed and signed by a civil surgeon on or after November 1, 2023, would be valid indefinitely. This was a welcome change, particularly for applicants facing long processing times, as it meant their medical exam wouldn’t expire while their adjustment of status application (Form I-485) was pending.
• December 2, 2024 Policy Update: USCIS also began requiring most applicants to submit Form I-693 concurrently with their Form I-485, Application to Register Permanent Residence or Adjust Status, to avoid potential rejections.

The Latest Change: Validity Tied to Application Status (Effective June 11, 2025)

As of June 11, 2025, USCIS has clarified and updated its policy, stating that a Form I-693 signed by a civil surgeon on or after November 1, 2023, is now only valid while the specific immigration benefit application (e.g., Form I-485) with which it was submitted is pending.

What does this new “I-693 validity change 2025” mean for you?

• If your Form I-485 is withdrawn or denied: If you submit your Form I-693 with a Form I-485, and that I-485 is later withdrawn by you or denied by USCIS, then that specific Form I-693 is no longer valid.
• Submitting a new application: If you file a future Form I-485 (or any other immigration benefit application requiring Form I-693) after a withdrawal or denial, you must submit a newly completed Form I-693 signed by a civil surgeon. The “indefinite validity” no longer applies to subsequent applications.
• Public Health Rationale: USCIS stated that the previous indefinite validity policy was “overly broad” and “could potentially threaten public health.” By limiting the validity period to the current application, they aim to ensure “timely and proper medical examinations and treatment,” which safeguards public health.

Why is Form I-693 Required?

Most individuals applying to adjust their status to a lawful permanent resident must undergo an immigration medical examination. This is to demonstrate they are not inadmissible to the United States on health-related grounds, as outlined in the Immigration and Nationality Act. While a properly completed Form I-693 is typically required, USCIS officers retain the discretion to request further evidence or a new or updated Form I-693 if they have reason to believe the applicant’s medical condition has changed or if the submitted form does not accurately reflect their current health.

Key Takeaways for Your Green Card Application Medical in 2025:

1. Understand the New Rule: The indefinite validity for I-693 forms signed after November 1, 2023, is now contingent on the accompanying immigration application remaining active.
2. Implications of Withdrawal or Denial: Be aware that withdrawing or receiving a denial on your Form I-485 (or other relevant application) will render your submitted I-693 invalid for any future applications.
3. Plan for New Exams: If you anticipate having to refile an application due to a withdrawal or denial, factor in the need to obtain a new immigration medical examination.
4. Seek Expert Guidance: Given the ongoing changes and complexities in immigration policy, it is more important than ever to consult with an experienced immigration attorney. They can provide precise advice based on your specific circumstances and help ensure your application meets all current requirements.

This latest I-693 validity change 2025 highlights the dynamic nature of immigration regulations. Staying informed and proactive is essential for navigating your path to permanent residency.

If you have questions about your immigrant medical exam expiration or how this new policy impacts your Green Card application, the legal team at LforLaw is here to provide clarity and expert assistance. Contact us today for a consultation to discuss your case.