How long do I have to respond to an RFE for Form I-693?

USCIS typically gives applicants 87 days to respond to an RFE. The exact deadline is printed on the RFE notice. Do not miss this deadline — failure to respond will result in a denial of your application.

Can I request more time to respond to an RFE?

USCIS generally does not grant extensions for RFE response deadlines. In rare circumstances involving extraordinary situations, you may be able to request additional time, but this is not guaranteed. Work with your immigration attorney as soon as you receive the RFE.

Will I need to pay for a new medical exam if the RFE requests one?

Yes. If USCIS requires a new or updated medical examination as part of an RFE response, the cost is your responsibility. USCIS does not reimburse applicants for examination costs.

Can an RFE be issued for a vaccination I received years ago?

Yes. USCIS may issue an RFE if your vaccination records are incomplete or if documentation of a past vaccination cannot be verified. In some cases, you may need to receive a booster or repeat vaccination if records are unavailable.

Is an RFE the same as a Notice of Intent to Deny (NOID)?

No. An RFE asks for additional evidence and gives you an opportunity to provide it. A Notice of Intent to Deny (NOID) indicates that USCIS is planning to deny your application and gives you an opportunity to respond before a final decision is made. Both require prompt responses, but they represent different stages in the adjudication process.

Form I-6935 min read readUpdated January 2025

What Is an RFE for an Immigration Medical Exam?

Quick Answer

An RFE (Request for Evidence) is a notice from USCIS asking for additional documentation or information related to your immigration application. RFEs related to Form I-693 often request missing vaccination records, additional medical documentation, or a new or updated medical examination.

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What Is a Request for Evidence (RFE)?

A Request for Evidence (RFE) is a formal notice issued by USCIS when they need additional information or documentation to make a decision on your immigration application. An RFE is not a denial — it is an opportunity to provide missing or insufficient evidence. USCIS issues RFEs for many different reasons across all types of immigration applications. When an RFE relates to Form I-693, it means USCIS has identified a deficiency in your immigration medical examination documentation.

Common Reasons for an RFE Related to Form I-693

The most common reasons USCIS issues an RFE related to Form I-693 include: missing or incomplete vaccination records; a Form I-693 that was not properly signed or sealed; an expired Form I-693; a civil surgeon who was not designated by USCIS at the time of the examination; missing tuberculosis (TB) test results or chest X-ray; a need for additional evaluation of a medical condition identified during the examination; or a Form I-693 that was submitted outside the required timeframe.

How to Respond to an RFE for Form I-693

When you receive an RFE related to Form I-693, read it carefully to understand exactly what USCIS is requesting. The RFE will specify a response deadline — typically 87 days from the date of the notice. Work with your immigration attorney to prepare a complete response. If the RFE requires a new or updated medical examination, contact our office immediately to schedule an appointment. Submit your response before the deadline with all requested documentation.

What Happens If You Do Not Respond to the RFE

If you do not respond to an RFE by the specified deadline, USCIS will make a decision on your application based on the existing record. In most cases, this means your application will be denied. A denial due to failure to respond to an RFE can have serious consequences for your immigration case. Always respond to RFEs promptly and completely, and consult your immigration attorney for guidance.

Preventing RFEs Through Thorough Preparation

The best way to avoid an RFE related to Form I-693 is to ensure your immigration medical examination is complete and accurate from the start. Bring all required vaccination records to your appointment. Follow up on any recommended additional testing promptly. Submit your Form I-693 to USCIS within the required timeframe. At ImmigrationMedicalExams.com, we review every form carefully before sealing it to minimize the risk of errors or omissions that could trigger an RFE.

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