USCIS Revises Policy Regarding Form I-693

Last Updated on February 23, 2023

Effective Nov. 1, 2018, the U.S. Citizenship and Immigration Services (USCIS) will mandate that applicants submit a form I-693 signed by a civil surgeon “no more than 60 days before the date an applicant files the application for the underlying immigration benefit.” This new guidance is controlling and will supersede any prior guidance on this topic. 

What is Form I-693?

USCIS uses Form I-693 to determine if an applicant for an immigration benefit is inadmissible under the health-related grounds of inadmissibility. As such, USCIS requires civil surgeons in the U.S. to conduct immigration medical examinations and use Form I-693 to record results.  Form I-693 is generally submitted when a foreign national submits Form I-485 to adjust status to a permanent resident.

What Does This Mean to You?

If you are in the process of filing Form I-485 or getting ready to open an I-485, the staff at Global Immigration Associates, P.C., will work with you on collecting this form when needed.  They will also work to ensure your I-485 is submitted with an I-693 within the 60-day period mentioned above.

Envoy is pleased to provide you this information, which was prepared in collaboration with attorney Scott Kuhagen at Global Immigration Associates, P.C. (, Envoy’s affiliated law firm.