Effective December 2, 2024, USCIS requires certain applicants filing Form I-485, Application to Register Permanent Residence or Adjust Status, to submit Form I-693, Report of Immigration Medical Examination and Vaccination Record, with their Form I-485 or the Form I-485 may otherwise be rejected.
Applicants for adjustment of status generally must complete an immigration medical examination and all required vaccinations and submit a properly completed Form I-693 signed by a civil surgeon to show they are free from health conditions that would render them inadmissible under the health-related grounds.
If required to submit Form I-693, or a partial Form I-693 (such as the Vaccination Record), applicants must submit it with their Form I-485. Otherwise, USCIS may reject the Form I-485. USCIS has revised the Form I-485 instructions to make filing the two forms together a requirement.
Erickson Insights & Analysis
USCIS has made this change to reduce the number of Requests for Evidence it issues before adjudicating a Form I-485. Additional information on the immigration benefits that require an immigration medical examination and vaccinations, and whether a civil surgeon or panel physician should conduct the immigration medical examination is available in Vol. 8, Part B, Chapter 3 – Applicability of Medical Examination and Vaccination Requirement of the USCIS Policy Manual.
Erickson Immigration Group will continue to monitor developments and share updates as more news is available. Please contact your employer or EIG attorney if you have questions about anything we’re reporting above or case-specific questions.