Is my I-693 still valid?
Check your form
The signature date is next to the civil surgeon’s signature on Form I-693. This tool gives general information from USCIS rules, not legal advice. Where the rules don’t settle a case, it says to ask an immigration attorney.
The checker needs JavaScript. Every answer it gives is in the table below.
Your form
Every answer this tool gives
The table runs the checker on one example form signed on each side of November 1, 2023, as of November 4, 2026. Find your application’s status in the first column.
| Application status | Signed on or after Nov 1, 2023 | Signed before Nov 1, 2023 |
|---|---|---|
| Not filed yet | No calendar expiration. It can go in with your application. | Its two-year window ended on March 1, 2025. |
| Pending | Valid while that application is pending. | Its two-year window ended on March 1, 2025. Ask an immigration attorney. |
| Approved | It served the application it was filed with. | It served the application it was filed with. |
| Denied | No longer valid. The application it was filed with was denied. | Its two-year window ended on March 1, 2025. Ask an immigration attorney. |
| Withdrawn | No longer valid. The application it was filed with was withdrawn. | Its two-year window ended on March 1, 2025. Ask an immigration attorney. |
For a form signed before November 1, 2023, the dates in the table are for a form signed on March 1, 2023. USCIS gives those older forms evidentiary value for 2 years from the civil surgeon’s signature, so the latest any of them could run is October 31, 2025.
Either way, a USCIS officer who has reason to believe your medical condition has changed can ask for more evidence or a new or updated Form I-693.
How the rules changed
- 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 If that case is denied or withdrawn, a new exam is required. Source for June 11, 2025 (opens in a new tab)
- December 2, 2024: The I-693 goes in with your I-485. Most green card applicants must now include Form I-693 when they file Form I-485, so the exam comes before filing — not after. Mail filings submit the civil surgeon’s envelope sealed. Online filings follow USCIS’s instruction to open it and upload the form. Source for December 2, 2024 (opens in a new tab)
- 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.) Source for November 1, 2023 (opens in a new tab)
The 60-day signing window is gone too. USCIS removed it on March 31, 2023.
Our guide to how long an I-693 is valid covers timing your exam and refiling after a denial.
Related
- Current I-693 rules, with the date each one changed.
- What will my immigration medical exam include? The tests and vaccines for your age.
- 2026 I-693 price index: what a new exam costs.