The General Rule: Schedule After Filing Form I-485

For most adjustment of status applicants, the recommended approach is to schedule your immigration medical exam after you have filed Form I-485 with USCIS. This is because Form I-693 has a validity period, and scheduling too early — before you file — risks the form expiring before USCIS adjudicates your case.

USCIS generally requires that Form I-693 be submitted with your I-485 package or in response to a USCIS request. Scheduling promptly after filing ensures your form is ready when USCIS needs it.

Submitting Form I-693 With Your I-485

Many applicants choose to complete the immigration medical exam and submit Form I-693 together with their Form I-485 filing. This approach can streamline the process and reduce the risk of receiving a Request for Evidence (RFE) for the medical exam. If you choose this approach, schedule your exam as soon as you are ready to file your I-485, and submit both together.

• Reduces risk of RFE for missing medical exam
• Allows USCIS to process your case without interruption
• Recommended for applicants with straightforward cases
• Requires careful coordination of timing between exam and filing

Submitting Form I-693 in Response to a USCIS Request

Some applicants file Form I-485 without Form I-693 and wait for USCIS to request the medical exam. USCIS may send an appointment notice for a USCIS interview and request that you bring Form I-693 to the interview, or USCIS may issue an RFE specifically requesting the medical exam.

If you receive a USCIS interview notice or RFE requesting Form I-693, schedule your immigration medical exam immediately. You will need to allow enough time for the exam, laboratory processing, and receipt of your sealed form before your interview or RFE response deadline.

How Far in Advance Should I Schedule?

We recommend scheduling your immigration medical exam at least 2 to 3 weeks before you need your sealed Form I-693. This allows time for the appointment, laboratory processing (2 to 3 business days), and any unexpected delays. If you have an upcoming USCIS interview, schedule your exam at least 3 to 4 weeks in advance to ensure you receive your sealed form well before the interview date.

• Standard timeline: schedule 2–3 weeks before you need the form
• Before a USCIS interview: schedule 3–4 weeks in advance
• Expedited processing available for urgent timelines
• Contact our office to confirm current appointment availability

Special Timing Considerations

Certain situations require special attention to timing. If you are pregnant, some vaccines required for the immigration medical exam may be deferred until after delivery. If you have a known medical condition that may affect the exam, consult with your immigration attorney and civil surgeon before scheduling. Always consult your immigration attorney for guidance specific to your case.