June 11, 2025
One exam, one application
A Form I-693 is now valid only for the application it was filed with. If that case is denied or withdrawn, a new exam is required.
Official source ↗ For immigration attorneys & paralegals
A medical exam that doesn’t hold up your filing
Since December 2024 the sealed I-693 has to be in the I-485 package, and since June 2025 it’s good for that one application only. A form that comes back for a missing signature or an incomplete TB classification can cost your client a new exam and hold up the whole filing. Our clinics are built to get it right the first time.
Designated surgeons, verifiable
Every clinic is led by a USCIS-designated civil surgeon listed on the USCIS locator. No gray areas about who signed.
A price your client sees up front
Each clinic publishes its fee with line-by-line inclusions, so clients aren’t surprised by lab bills and don’t stall before booking.
Booking that matches your filing date
Clients book real open times online. For tight deadlines or families, clinics coordinate by phone.
Sealed forms that arrive intact
The sealed envelope goes to your client, as USCIS requires. With your client’s written consent, the clinic can send your office a copy of the completed form for your file.
Set up referrals
Tell us where your clients are. We’ll send you clinic details and a direct contact at each location.
Before the envelope is sealed
What our clinics check
The avoidable causes of Requests for Evidence are almost all administrative. These are checked on every form.
- Signed by a USCIS-designated civil surgeon
- The edition of the form USCIS currently accepts
- Matching signatures — yours and the surgeon’s
- Dates that agree on every page
- A complete tuberculosis classification
- A complete vaccination section
- Every test your age requires
- An intact, sealed USCIS envelope
Current rules
Important changes to understand before your exam
Review these policy changes and the linked official sources as you plan your exam and application.
January 22, 2025
COVID-19 vaccine no longer required
The COVID-19 vaccination requirement was removed. Check the current age-appropriate requirements with your civil surgeon.
Official source ↗December 2, 2024
The I-693 goes in with your I-485
Most green card applicants must now include the sealed I-693 when they file Form I-485, so the exam comes before filing — not after.
Official source ↗November 1, 2023
No more calendar expiry
Forms signed on or after this date no longer expire after two years. (Older forms keep the two-year window.)
Official source ↗Checked against USCIS and CDC sources on September 28, 2026