60-day rule for form I-693. Since December 2021, USCIS had temporarily waived the requirement that the civil surgeon’s signature on Form I-693 before an applicant files the application for the underlying immigration benefit. Today, USCIS issued guidance permanently removing this requirement. USCIS is publishing this change in policy in the policy manual consistent with the updated Form I-693 approved by OMB. Rather, the notice is reminding you that you will need to submit a completed and signed Form I-693 Medical Exam to USCIS in the future, either: (1) at your adjustment of status interview; or (2) if requested by USCIS through a Request for Evidence. Following a consensus among stakeholders that the rule created confusion and delays, USCIS has now removed this requirement permanently.