Changes to the USCIS and CDC rules for the immigration medical exam (Form I-693), each linked to its official source. https://nationalime.com/i-693-rules/changes.xml 2026-07-24T00:00:00Z National Immigration Medical Examshttps://nationalime.com/ General information, not legal or medical advice. tag:nationalime.com,2026:i-693-rules/changes/2026-07-24-online-i485-pdf-upload 2026-07-24T00:00:00Z 2026-07-24T00:00:00Z

USCIS added online filing options for Form I-485 and listed Form I-693 among the forms that can be submitted with it by PDF upload. USCIS's Form I-693 page tells online filers to open the civil surgeon's sealed envelope, upload the form, and keep the original form and the envelope until USCIS decides. USCIS has not published a separate start date for that instruction. Source: USCIS, Additional PDF filing options for Form I-485, https://www.uscis.gov/file-online/online-filing-options/additional-pdf-filing-options-for-form-i-485-application-to-register-permanent-residence-or-adjust

tag:nationalime.com,2026:i-693-rules/changes/2025-07-03-edition-01-20-25-only 2025-07-03T00:00:00Z 2025-07-03T00:00:00Z

For forms the civil surgeon signs on or after July 3, 2025, USCIS accepts only the 01/20/25 edition of Form I-693. Forms signed on or before July 2, 2025 could use the 03/09/23 or the 01/20/25 edition. Source: USCIS, Form I-693, https://www.uscis.gov/i-693

tag:nationalime.com,2026:i-693-rules/changes/2025-06-11-one-application 2025-06-11T00:00:00Z 2025-06-11T00:00:00Z

A Form I-693 signed on or after November 1, 2023 is valid only while the application it was submitted with is pending. If that application is withdrawn or denied, the form is no longer valid. The policy took effect immediately and applies to applications pending or filed on or after June 11, 2025. Source: USCIS alert: validity of Form I-693 signed on or after November 1, 2023, https://www.uscis.gov/newsroom/alerts/uscis-changes-validity-period-for-any-form-i-693-signed-on-or-after-nov-1-2023

tag:nationalime.com,2026:i-693-rules/changes/2025-03-11-cdc-removes-covid-19 2025-03-11T00:00:00Z 2025-03-11T00:00:00Z

CDC updated its Technical Instructions for Civil Surgeons to remove the COVID-19 vaccination from the list of vaccinations required for immigration purposes. Source: USCIS Policy Manual, Vol. 8, Part B, Ch. 9: Vaccination Requirement, https://www.uscis.gov/policy-manual/volume-8-part-b-chapter-9

tag:nationalime.com,2026:i-693-rules/changes/2025-01-22-uscis-ends-covid-19-requirement 2025-01-22T00:00:00Z 2025-01-22T00:00:00Z

USCIS announced that, as of January 20, 2025, officers would no longer issue Requests for Evidence or Notices of Intent to Deny, or deny adjustment of status applications, because an applicant did not submit proof of COVID-19 vaccination. Source: USCIS Policy Manual, Vol. 8, Part B, Ch. 9: Vaccination Requirement, https://www.uscis.gov/policy-manual/volume-8-part-b-chapter-9

tag:nationalime.com,2026:i-693-rules/changes/2024-12-02-file-with-i485 2024-12-02T00:00:00Z 2024-12-02T00:00:00Z

Most applicants must now submit Form I-693, or a partial Form I-693 such as the vaccination record, with Form I-485. USCIS may reject a Form I-485 filed without it. USCIS said the change is meant to reduce the number of Requests for Evidence it issues. Source: USCIS alert: Form I-693 must be submitted with Form I-485, https://www.uscis.gov/newsroom/alerts/uscis-now-requires-report-of-immigration-medical-examination-and-vaccination-record-to-be-submitted

tag:nationalime.com,2026:i-693-rules/changes/2024-04-04-no-calendar-expiry 2024-04-04T00:00:00Z 2024-04-04T00:00:00Z

USCIS issued policy guidance that a properly completed Form I-693 signed on or after November 1, 2023 does not expire. A form signed before that date keeps its evidentiary value for 2 years from the civil surgeon's signature. The June 11, 2025 policy later tied each form to the application it is filed with. Source: USCIS Policy Alert: validity of Form I-693 (PDF, April 4, 2024), https://www.uscis.gov/sites/default/files/document/policy-manual-updates/20240404-I-693Validity.pdf

tag:nationalime.com,2026:i-693-rules/changes/2023-11-01-cdc-electronic-reporting 2023-11-01T00:00:00Z 2023-11-01T00:00:00Z

CDC updated its tuberculosis Technical Instructions to require civil surgeons to share certain medical data from Form I-693 directly with CDC electronically. USCIS later used this date as the cutoff: forms signed on or after November 1, 2023 follow the newer validity rules. Source: USCIS Policy Alert: validity of Form I-693 (PDF, April 4, 2024), https://www.uscis.gov/sites/default/files/document/policy-manual-updates/20240404-I-693Validity.pdf

tag:nationalime.com,2026:i-693-rules/changes/2023-03-31-signing-window-removed 2023-03-31T00:00:00Z 2023-03-31T00:00:00Z

USCIS permanently removed the requirement that the civil surgeon sign Form I-693 no more than 60 days before the applicant files the underlying application. USCIS had waived that requirement since December 9, 2021. Source: USCIS Policy Alert on the Form I-693 signature date requirement (PDF, March 31, 2023), https://www.uscis.gov/sites/default/files/document/policy-manual-updates/20230331-I-693FilingReqt.pdf