Quick Hits

• New USCIS policy guidance provides that Forms I-693, Report of Immigration Medical Examination and Vaccination Record, that are properly completed and signed by a civil surgeon on or after November 1, 2023, do not expire and are valid indefinitely as proof of applicant admissibility on health-related grounds.
• Forms I-693 properly completed and signed by a civil surgeon before November 1, 2023, will continue to retain validity for two years from the date of the civil surgeon’s signature.
• Even if the original Form I-693 is otherwise valid, USCIS officers have the discretion to request additional evidence or a new Form I-693, should they question inaccuracies regarding the applicant’s medical condition.

Effective November 1, 2023, as a result of USCIS’s collaboration with the U.S. Centers for Disease Control and Prevention (CDC), civil surgeons are required to share medical data from Forms I-693 directly with the CDC electronically and with local U.S. health departments. In light of these developments with the CDC, USCIS has determined that Forms I-693 signed on or after November 1, 2023, can be used as evidence to show applicant admissibility indefinitely. This updated policy guidance is effective immediately and applies to all Forms I-693 signed by a civil surgeon on or after November 1, 2023.