Does the 2-year validity period start from the exam date or the signature date?

The validity period starts from the date the civil surgeon signs Form I-693, which is typically the same day as your examination. Always confirm the signature date on your copy of the form.

Can USCIS extend the validity of my Form I-693?

USCIS does not formally extend the validity of Form I-693. However, in some circumstances — such as during periods of national emergency or when USCIS itself causes significant delays — they may issue policy guidance allowing older forms to remain valid. Check current USCIS policy or consult an immigration attorney.

What if my form expires while waiting for a USCIS interview?

If your Form I-693 expires before your USCIS interview, you should proactively schedule a new immigration medical examination. Bringing an expired form to your interview may result in delays or a denial. Contact our office to schedule a new exam as soon as possible.

Is the validity period the same for all applicants?

The 2-year validity period applies to most applicants. However, USCIS may have specific guidance for certain visa categories or special programs. Consult your immigration attorney to confirm the rules that apply to your specific situation.

How do I know if my Form I-693 is still valid?

Check the civil surgeon signature date on your copy of Form I-693. Count forward two years from that date. If today's date falls within that window and you submitted the form within 60 days of signing, your form should still be valid. When in doubt, consult your immigration attorney.

Form I-6935 min read readUpdated January 2025

How Long Is Form I-693 Valid?

Quick Answer

Form I-693 is generally valid for 2 years from the date the civil surgeon signs it. However, USCIS has specific rules about when the form must be submitted and how long it remains valid for adjudication purposes. If your form expires before your case is decided, you may need a new examination.

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The 2-Year Validity Rule

USCIS considers Form I-693 valid for two years from the date the civil surgeon signs and seals it. This means that if your civil surgeon completes your immigration medical examination on January 1, 2024, the form remains valid through January 1, 2026. During this window, USCIS can use the form to adjudicate your case without requiring a new examination. It is critical to track this date carefully, especially if your green card application is pending for an extended period.

When Must the Form Be Submitted?

USCIS policy requires that Form I-693 be submitted no later than 60 days after the civil surgeon signs it, or it may not be accepted. If you are filing Form I-485 concurrently with Form I-693, both should be submitted together. If USCIS requests the form separately — for example, in response to an interview notice — you must submit it within the timeframe specified. Submitting the form too early or too late relative to your I-485 filing can create complications.

What Happens If the Form Expires During Adjudication?

If USCIS has not decided your case before your Form I-693 expires, they may issue a Request for Evidence (RFE) asking you to submit a new, updated medical examination. This is more common in cases with long processing times. If you receive such an RFE, you must schedule a new appointment with a USCIS-designated civil surgeon and complete the entire examination process again. The cost of a new examination is your responsibility.

How to Protect Your Form I-693 Validity

The best way to protect the validity of your Form I-693 is to submit it to USCIS as promptly as possible after your examination. Do not delay submitting your I-485 or responding to USCIS requests. If your case is taking longer than expected, monitor the USCIS processing times for your application type and consult your immigration attorney if you believe your form may expire before a decision is made.

Special Circumstances That May Affect Validity

Certain circumstances can affect the effective validity of your Form I-693. If USCIS determines that the form was not properly completed, was submitted outside the required timeframe, or if there are discrepancies in the medical findings, they may request a new examination regardless of the form's nominal validity period. 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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