Articles Posted in I-693

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In this blog post we share with you the latest news for medical examinations filed by green card applicants.

Today, December 9, 2021, the U.S. Citizenship and Immigration Services announced that it is temporarily waiving the requirement that civil surgeons sign Form I-693, Report of Medical Examination and Vaccination Record, no more than 60 days before an applicant files an application for the underlying immigration benefit (including Form I-485, Application to Register Permanent Residence or Adjust Status). This temporary policy change will be in effect until September 30, 2022.


Why the change?


USCIS has stated that it is offering this “temporary waiver” to help applicants who have been adversely affected by the COVID-19 pandemic and related processing delays brought about by the USCIS office closures that occurred in 2020. Ultimately, all these factors have caused applicants to experience delays in completing the immigration medical examination known as Form I-693, Report of Medical Examination and Vaccination Record.

The service has said that this new change will allow applicants to submit their underlying application for an immigration benefit (I-485 green card application) with a completed Form I-693, even if the civil surgeon signed the medical examination more than 60 days prior. Such applicants will no longer need to undergo another immigration medical examination provided the completed Form I-693 is otherwise valid.


Who will benefit?


The temporary waiver will benefit all applicants applying for adjustment of status to become lawful permanent residents, including Afghan nationals evacuated under Operation Allies Welcome who have completed immigration medical examinations at government-run facilities who were not able to apply for adjustment of status within 60 days of the completed examination. Form I-693 is a required form to establish that green card applicants are not inadmissible to the United States on public health grounds. The medical examination must be conducted by a designated USCIS civil surgeon. To find a qualified medical office please visit our helpful links below.

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We kick off the start of a brand-new week with some important new updates regarding the new COVID-19 vaccination requirement for all immigrant visa applicants, fiancé(e) visa applicants, and nonimmigrant visa applicants. We also share with you some new information regarding Croatia’s designation as a country participating in the Visa Waiver Program. When can Croatians start to apply for ESTA? Find out here!


COVID-19 Vaccine Requirements for Immigrant Visa Applicants Overseas


The Department of State has issued a brand-new press release informing the public that effective October 1, 2021, the Centers for Disease Control and Prevention (CDC) Technical Instructions for panel physicians, will now require all immigrant visa applicants, all K fiancé(e) visa applicants, and nonimmigrant visa applicants who are referred to the panel physicians to receive a full COVID-19 vaccine series (1 or 2 doses depending on formulation) as part of their medical exam prior to being issued a visa.  The CDC is requiring the COVID-19 vaccine to be approved through either the World Health Organization (WHO) or the U.S. Food and Drug Administration (FDA).

Blanket waivers for the COVID vaccination will be applied in countries where the vaccine is not routinely available or when the vaccine is not age appropriate.  The Department of State is encouraging all immigrant visa applicants and others subject to a medical exam to get vaccinated against COVID-19 as soon as possible to avoid delays in their visa processing. If any of the below mentioned circumstances apply a blanket waiver may be available to you.


Circumstances in which Blanket Waivers are available for COVID-19 vaccinations:


  • Where it is not age-appropriate to receive the vaccination
    For COVID-19 vaccines, the age for which a particular vaccine can be administered differs by formulation. If the applicant is younger than the lowest age limit for the formulations in use (less than 12 years of age at the time of posting), this blanket waiver should be documented.
  • In cases where a contraindication exists – a condition that serves as a reason not to take a certain medical treatment due to the harm that it would cause the patient.

If an applicant has a contraindication or precaution to the COVID-19 vaccine formulation available, the “Contraindicated” reason should be documented, and the vaccine should not be administered. If the applicant has had a severe reaction to the first dose that is considered a contraindication to receiving a second dose, the first dose should be documented in addition to the blanket waiver.  Please refer to Interim Clinical Considerations for Use of COVID-19 Vaccines Currently Authorized in the United States for COVID-19 specific information about contraindications and precautions.

  • Where a vaccine is not routinely available
    If no COVID-19 vaccine is routinely available in the state where the Civil Surgeon practices, the “Not routinely available” reason should be documented.  If vaccine is available to the applicant but due to limited supply, it would cause significant delay for the applicant to receive their vaccination, then this situation would also be considered “Not routinely available.”

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In this blog post we share with you some breaking news for green card applicants applying for adjustment of status on Form I-485, as well as those applying for immigrant visas from abroad.

As part of the green card process, USCIS and the Department of State require applicants to undergo a medical examination with a doctor designated as a civil surgeon, to establish that the applicant is not inadmissible to the United States on public health grounds.

According to new guidelines released by the Centers for Disease Control, beginning October 1, 2021, green card applicants will now be required to establish that they have received a complete COVID-19 vaccine series, in order to be deemed eligible for permanent residence. Following the release of this new guidance, COVID-19 was added to the list of vaccinations required of those seeking U.S. lawful permanent residence.

The new vaccine requirement will apply to routine medical examinations necessary for both adjustment of status applicants applying for green cards in the United States and immigrant visa applicants applying at U.S. embassies and consulates abroad.


Who must take the COVID-19 vaccine?


All applicants (1) applying for I-485 adjustment of status (a green card) or (2) those applying for an immigrant visa abroad, who will receive their medical examination from a Civil Surgeon or Panel Physician on or after October 1, 2021, will be subject to this requirement and are encouraged to complete a COVID-19 vaccine series as soon  as possible.

Eligible applicants must complete the COVID-19  vaccine  series if  a  COVID-19  vaccine  listed  for  emergency  use  by  the World  Health  Organization  (WHO)  or  licensed  or  authorized  for  emergency  use  by  the  U.S. Food  and  Drug Administration  (FDA)  is  available  to  the  applicant  in  the  country  where  the  medical  examination  is  conducted.


How can I show that I have met the vaccine requirement?


Applicants must complete the COVID-19 vaccine series and provide documentation of vaccination to the civil surgeon in person before completion of the medical examination.  The COVID-19 vaccination requirement will differ from previous requirements in that the entire vaccine series (1 or 2 doses depending on formulation) must be completed in addition to the other routinely required vaccines.


How long will the COVID-19 vaccine requirement be in place?


These COVID-19 vaccine requirement will be in place until the CDC determines the vaccine is no longer needed to prevent the importation and spread of COVID-19.

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Exciting news for adjustment of status applicants filing their green card applications! On August 12, 2021, the United States Citizenship and Immigration Services (USCIS) announced that the agency will be temporarily extending the validity period of medical examination (known as Form I-693, Report of Medical Examination and Vaccination Record), from two years to now four years due to COVID-19 related delays in processing applications. For those who are unaware, a sealed medical examination signed by a USCIS authorized civil surgeon on Form I-693 is a required component to receive lawful permanent resident status.


Who Will Benefit from this New Policy?


Effective immediately, USCIS will extend your Form I-693 medical examination if all of the following is true:

  • The civil surgeon’s signature on the medical examination (Form I-693) is dated no more than 60 days before the applicant filed Form I-485, Application to Register Permanent Residence or Adjust Status;
  • No more than four years have passed since the date of the civil surgeon’s signature on Form I-693; and
  • A decision on the applicant’s Form I-485 is issued on or before Sept. 30, 2021.

Why is the validity of the medical exam being extended?


According to USCIS, this change is being made temporarily due to COVID-19 related processing delay that have affected the ability of many applicants to complete the required immigration medical examination. Previously, USCIS considered a completed Form I-693 to retain its validity for two years after the date the civil surgeon signed, as long as the date of the civil surgeon’s signature was no more than 60 days before the applicant filed for adjustment of status. Now the validity of the medical examination Form I-693 is being extended to four years (see the criteria above).

USCIS also revealed that it will be approving a record number of employment-based adjustment of status applications, with more approvals than it has issued since FY 2005.  The agency has prioritized the processing and adjudication of employment-based adjustment of status applications during this fiscal year. The agency vows to continue to make processing and resource allocation decisions to increase the pace of adjudications and limit the potential for employment-based visa numbers to go unused.

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Good News for Adjustment of Status Applicants! The United States Citizenship and Immigration Services (USCIS) is updating its policy, extending the validity of Form I-693 Report of Medical Examination and Vaccination Record, submitted along with an application for an immigration benefit (such as an I-485 Application for Adjustment of Status).

Effective November 1, 2018, Form I-693 will be valid for a maximum period of 2 years from the date of the civil surgeon’s signature on Form I-693, provided that the civil surgeon signs the medical examination 60 days before the date the applicant files an application for an underlying immigration benefit with USCIS.

Previously, Form I-693 was only valid for a period of one year from the date of the civil surgeon’s signature.

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It is our pleasure to bring you the latest in immigration news including recent USCIS announcements, workload updates, tips, and important reminders to avoid delays in application processing or rejections. For more information please contact our office.

Comment Period for Proposed USCIS Form Revisions:

The Department of Homeland Security (DHS) and United States Citizenship and Immigration Services (USCIS) have proposed changes to the following USCIS forms. DHS and USCIS invite the general public, organizations, and federal agencies to submit comments on the proposed revisions by the deadlines outlined below: