Process · 4 min read · Updated April 4, 2026
This is one of the most confusing parts of the immigration medical exam because many websites still repeat older guidance.
USCIS updated policy on June 11, 2025 and says that Form I-693 signed on or after November 1, 2023 remains valid only while the related immigration application is pending.
The form does not work like a simple fixed two-year expiration the way many older pages still describe. Its validity depends on the signed date and whether your related immigration application is still pending.
That is one reason filing timing matters so much.
Even with the updated validity policy, you still do not want to complete the exam without a filing plan. Form editions, timing, and case strategy still matter.
Before booking, make sure the office is using the current form edition and understands the current USCIS filing rules. That reduces the chance of having to repeat the exam because of outdated office procedures.
That older rule is still repeated online, but it does not describe the current USCIS policy for forms signed on or after November 1, 2023.
Usually no. It is better to time the exam to your actual filing plan, especially because USCIS generally now expects Form I-693 with Form I-485.
Because many immigration medical pages have not been updated after the more recent USCIS policy changes.
Process · 6 min read
Learn what Form I-693 is, who usually needs it, and why filing timing matters more than it used to.
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Bring your ID, vaccine records, and any medical paperwork that may help the office understand your history.
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Start with the official USCIS locator, then compare offices by price, language help, and how they handle records.