Immigration
USCIS Removes 60-Day Rule for Civil Surgeon Signatures on Form I-693

U.S. Citizenship and Immigration Services is removing the requirement that civil surgeons sign Form I-693, Report of Immigration Medical Examination and Vaccination Record, no more than 60 days before an individual applies for an underlying immigration benefit, including Form I-485, Application to Register Permanent Residence or Adjust Status. The requirement had been subject to a temporary waiver since Dec. 9, 2021.
This policy update will allow USCIS to adjudicate cases with immigration medical examinations that would previously have been considered invalid. Rather than issuing Requests for Evidence (RFEs) for Form I-693 signed more than 60 days before the filing of the I-485, but otherwise valid, we will be able to accept these Forms I-693 for adjudicative purposes for up to 2 years after the date the civil surgeon signed the form.
Applicants, civil surgeons, USCIS officers, federal partners, and other stakeholders have consistently expressed concern that this requirement is confusing and necessitates RFEs to be issued for otherwise valid Forms I-693. While the 60-day rule was intended (PDF, 168.6 KB) to enhance operational efficiency and reduce the need to request updated Forms I-693 from applicants, in practice these efficiencies have not been realized.
Civil surgeons no longer have to sign Form I-693 no more than 60 days before the underlying application for an immigration benefit is filed.
USCIS is publishing this change in policy in the policy manual consistent with the updated Form I-693 approved by OMB.
For more information, see the policy alert (PDF, 322.12 KB). Visit our Policy Manual Feedback page to comment on this update.

2 hours ago
Pakistan and the hardliners want Kashmir as a perpetual battleground; They don’t care about peace or human lives

8 hours ago
A Year of Impact: Sewa International Announces New Leadership

10 hours ago
Trump announces trade deal with United Kingdom

10 hours ago
'I look forward to meeting Pope Leo XIV,' White House congratulates Pope Leo XIV on election win

10 hours ago
Vance's statement on India-Pak tensions reflects Trump admin's broad view of foreign policy: US-based expert

10 hours ago
IPL 2025 suspended for one week, new schedule and venues to be announced in due course: BCCI

10 hours ago
Iran denies US media claim of identifying secret nuclear facility

10 hours ago
American-Jewish community thanks India for eliminating Islamist terrorist Abdul Rauf Azhar

11 hours ago
PM Modi, LoP Gandhi greet Pope on election as new leader of Christian world

11 hours ago
Soldier from Andhra Pradesh martyred in Pakistani shelling along LoC

11 hours ago
SC trashes plea to implement NEP in TN, Kerala and Bengal

12 hours ago
A Night of Verse and Solidarity: Chicago’s Urdu Mushaira Unites Hearts

13 hours ago
Ananya Panday: I’ve grown into a version of myself who’s not afraid to try