As of today, December 2, 2024, U.S. Citizenship & Immigration Services (USCIS) is requiring Form I-693, Report of Immigration Medical Examination and Vaccination Record to be submitted with Form I-485, Application to Register Permanent Residence or Adjust Status. If Form I-693 is not submitted with the Form I-485, USCIS can reject the entire filing. USCIS has updated the Form I-485 instructions to reflect this change.
This is a departure from USCIS’ previous practice of allowing the I-485 to be filed without the medical exam, and either issuing a Request for Evidence (RFE) for the medical, or allowing the applicant to bring the medical to a USCIS interview.
Form I-693 is required to demonstrate to the government that the applicant is free from health conditions that would make them inadmissible based on health-related grounds.
The full announcement can be found here.
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