Major Policy Change for Form I-693: Understanding the New Validity Rules: One key aspect is the 60-day rule for form I-693 that applicants need to be aware of.
On June 11, 2025, U.S. Citizenship and Immigration Services (USCIS) issued a significant policy alert. It reverses a previous rule giving indefinite validity to Form I-693, the Report of Immigration Medical Examination. This change marks the latest development in a series of policy shifts over the last few years, including the introduction of the 60-day rule for form I-693. Therefore, applicants for adjustment of status must now pay closer attention to the timing of their medical exams.
— What changed and what applicants should do now
USCIS has eliminated the old “60-day signature” constraint for civil-surgeon signatures on Form I-693 (the immigration medical exam form), but it also updated the form-validity rules in 2025 — so you need to pay attention to the signature date, form edition, and how USCIS treats an I-693 if the underlying application is withdrawn or denied.
Short summary
- 60-day rule removed: USCIS removed the rule that civil surgeons sign the form no more than 60 days before filing the underlying benefit.
- New validity rule (effective June 11, 2025): any I-693 signed on or after Nov. 1, 2023 is valid only while the underlying application (usually I-485) is pending; withdrawal or denial typically voids reuse.
- Edition & technical rules: new edition requirements (mandatory mid-2025) and narrow resubmission exceptions for rejected filings apply.
Practical steps
- Confirm civil-surgeon signature date and form edition before filing.
- If you refile after a denial/withdrawal and the prior I-693 was signed on/after Nov. 1, 2023, expect to obtain a new medical exam.
- If USCIS rejects the filing and returns an unopened sealed envelope, resubmit the same sealed I-693 with the corrected filing (narrow exception).
We check I-693s, coordinate civil-surgeon compliance, and prepare re-exams when necessary to keep your green-card case moving.