Starting December 2, 2024, the U.S. Citizenship and Immigration Services (USCIS) has implemented a new rule for certain applicants seeking to become permanent residents. If you are applying for a Green Card using Form I-485, you must now include Form I-693, which is the Report of Immigration Medical Examination and Vaccination Record. If you do not submit Form I-693 with your application, USCIS may reject your application.  

Quick Recap: What is Form I-693?

Form I-693 is a document that shows you have had a medical examination and received necessary vaccinations. A doctor approved by USCIS, known as a civil surgeon, must complete and sign this form. The purpose is to confirm that you do not have health conditions that would make you inadmissible to the United States. 

What Changes Have Been Made to the Green Card Application & What Does This Mean For You?

USCIS has updated the instructions for Form I-485 to require that Form I-693 be submitted at the same time. This change aims to reduce delays in processing applications by decreasing the number of Requests for Evidence (RFEs) that USCIS needs to issue.  

If you are applying for a Green Card, it is important to schedule your medical examination with a USCIS-approved doctor before submitting your application. Make sure to include the completed Form I-693 with your Form I-485 to avoid rejection. This new requirement is designed to make the application process more efficient and reduce waiting times.