How Long Is Form I-693 Valid?
Quick Answer
Form I-693 validity depends on applicable USCIS policy, the civil surgeon's signature date, and the applicant's filing circumstances. USCIS policy has changed over time. Consult your immigration attorney and review current USCIS guidance for the most up-to-date information applicable to your case.
Current Validity Rule (Forms Signed On or After November 1, 2023)
Under USCIS Policy Manual Volume 8, Part B, Chapter 4 (effective June 11, 2025), a Form I-693 signed by the civil surgeon on or after November 1, 2023 is generally valid only for the specific immigration benefit application it was submitted with, for as long as that application remains pending. The form does not automatically expire two years after the civil surgeon's signature. If that application is withdrawn or denied, the form is no longer valid — a newly completed and signed Form I-693 is required with any future application.
Forms Signed Before November 1, 2023
Forms signed before November 1, 2023 retain evidentiary value for 2 years from the civil surgeon's signature date under the prior policy. If your form was signed before that date, consult your immigration attorney to confirm which validity rules apply to your specific situation.
The Former 60-Day Submission Rule
The former requirement that Form I-693 be signed no more than 60 days before filing was permanently removed by USCIS effective March 31, 2023. There is no longer a 60-day submission deadline.
USCIS Discretion to Request a New Examination
Even for forms signed on or after November 1, 2023, USCIS retains discretion to request a new or updated Form I-693 at any time if it believes the applicant's medical condition may have changed. If you receive a Request for Evidence (RFE) asking for a new examination, you must schedule a new appointment with a USCIS-designated civil surgeon and complete the entire examination process again.
Special Circumstances That May Affect Validity
Certain circumstances can affect the validity of your Form I-693. If USCIS determines that the form was not properly completed or if there are discrepancies in the medical findings, they may request a new examination. Always ensure your civil surgeon is currently designated by USCIS at the time of your examination, as a lapsed designation can invalidate the form.
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Medical Disclaimer: This information is provided for general educational purposes only and does not constitute medical or legal advice. USCIS and CDC requirements are subject to change. Applicants should consult a USCIS-designated civil surgeon and, when appropriate, a qualified immigration attorney regarding their individual circumstances.
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