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Articles Posted in I-693

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doctor-5569298_1280Wondering what’s new in immigration? We have some bad news for adjustment of status applicants filing a green card inside the United States.

Effective immediately, the U.S. Citizenship and Immigration Services (USCIS) will now require adjustment of status applicants filing Form I-485, Application to Register Permanent Residence or Adjust Status to submit their application along with the sealed medical examination from their civil surgeon also known as Form I-693, Report of Immigration Medical Examination and Vaccination Record.

Applicants who fail to provide the medical examination may have their I-485 green card application rejected by USCIS.

Why is a Medical Examination Required for a Green Card?

Those who are applying for adjustment of status (a green card) are generally required to undergo an immigration medical examination. During the examination, the civil surgeon will review the applicant’s vaccination history to determine whether the applicant has received all required vaccinations, including the COVID-19 vaccination.

Once the medical examination has been completed, the civil surgeon must sign and provide a sealed Form I-693 report that must be mailed by the applicant along with the I-485 application.

The medical report is necessary to prove that green card applicants are free from health conditions that would render them inadmissible to the U.S. on health-related grounds.

Accordingly, filing the Form I-693 and Form I-485 together is now a requirement.

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This week we bring you new updates regarding the I-693 medical examination.

On April 4, 2024, the U.S. Citizenship and Immigration Services (USCIS) announced that any Form I-693, Report of Immigration Medical Examination and Vaccination Record, that was properly completed and signed by a civil surgeon on or after November 1, 2023, does not expire and can be used indefinitely as evidence to show that the applicant is not inadmissible on health-related grounds.

What is Form I-693?

The Form I-693 is a medical examination report that must be completed by a USCIS approved civil surgeon. It is a required document for certain noncitizens who must prove to USCIS that they are free of any health-related conditions that would make them inadmissible to the United States. This includes applicants applying for adjustment of status on Form I-485 (green card applicants).

Beginning December 9, 2021, USCIS recognized the validity of Form I-693 for a period of 2 years from the date the civil surgeon signed the form, regardless of when the underlying application was submitted.

What changed?

Medical Examinations Completed On or After November 1, 2023

USCIS has consulted with the Centers for Disease Control and Prevention (CDC) and determined that the validity of Form I-693 will no longer be limited to a certain period, so long as it was properly completed and signed by a civil surgeon on or after November 1, 2023.

Effective November 1st, the CDC has required civil surgeons to share certain medical data from the Form I-693 directly with CDC electronically. CDC and USCIS have also collaborated to improve the reporting of public health information collected on Form I-693 by civil surgeons to local U.S. health departments.

Before this policy update, civil surgeons were not required to share such information with CDC electronically.

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In this blog post, we share with you the latest news in the world of immigration.

Recently, the U.S. Citizenship and Immigration Services (USCIS) announced that it has removed the 60-day rule for civil surgeon signatures on Form I-693 Report of Immigration Medical Examination and Vaccination Record, also known as the immigration medical exam.

This form must be completed by a civil surgeon and submitted along with the applicant’s I-485 adjustment of status (green card) application with USCIS.

Green card applicants can now submit their Form I-693 medical examination for up to 2 years after the civil surgeon has signed the form.

Previously, green card applicants were required to have a civil surgeon sign Form I-693 within 60 days of submitting their green card application or risk its rejection with USCIS. The 60-day rule created much confusion among green card applicants and was an unnecessary obstacle to the green card process. Form I-693’s that were not signed within the 60-day period were issued Requests for Evidence (RFE) asking for a compliant Form I-693 signed within the requisite 60-day period.

Now that USCIS has eliminated the 60-day rule, applicants will have more time and flexibility to obtain their signed Form I-693 medical examination without worrying. This change will also decrease the green card backlogs, considering that less RFEs will be issued for deficient Form I-693’s given the 2-year validity period from the date of the civil surgeon’s signature.

In support of its new policy, USCIS has said, “While the 60-day rule was intended to enhance operational efficiency and reduce the need to request updated Forms I-693 from applicants, in practice these efficiencies have not been realized.”

For more information about this new update, please click here.

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Happy Columbus Day! We start the week with great news for green card applications.

The U.S. Citizenship and Immigration Services (USCIS) recently announced that it is extending a policy that previously waived the requirement for civil surgeons to sign the Form I-693, Report of Medical Examination and Vaccination Record, no more than 60 days before filing the green card application.

USCIS previously issued its waiver policy until September 30, 2022 but has decided to extend the waiver until March 31, 2023.

Why the extension?

Due to processing delays caused by the COVID-19 pandemic, USCIS has decided that extending this policy is necessary to provide relief to applicants for the delays and difficulties that it takes to complete the green card medical examination.

Moving forward, the waiver will apply to all Form I-693 medical examinations for green card applications that have not been adjudicated, regardless of when the application was submitted to USCIS or when a civil surgeon signed the Form I-693.

USCIS expects this extension to provide much needed relief to Afghan nationals evacuated under Operation Allies Welcome, who completed immigration medical examinations but could not apply for adjustment of status within 60 days of a civil surgeon signing their Form I-693.

For more information about this important update, please click here.

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Welcome back to a brand-new week. We have some interesting news for employment-based adjustment of status applicants.

Today, Monday, June 27, 2022, the U.S. Citizenship and Immigration Services (USCIS) issued a public engagement notice recommending that members of the public submit their Form I-693 sealed medical examinations as soon as possible to ensure efficient processing of employment based green cards.

According to USCIS, the agency is ramping up its efforts to process as many employment-based immigrant visas as possible to avoid wasting visa numbers before the end of fiscal year 2022, which ends on September 30, 2022.

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In this blog post we share with you the latest news for medical examinations filed by green card applicants.

Today, December 9, 2021, the U.S. Citizenship and Immigration Services announced that it is temporarily waiving the requirement that civil surgeons sign Form I-693, Report of Medical Examination and Vaccination Record, no more than 60 days before an applicant files an application for the underlying immigration benefit (including Form I-485, Application to Register Permanent Residence or Adjust Status). This temporary policy change will be in effect until September 30, 2022.

Why the change?

USCIS has stated that it is offering this “temporary waiver” to help applicants who have been adversely affected by the COVID-19 pandemic and related processing delays brought about by the USCIS office closures that occurred in 2020. Ultimately, all these factors have caused applicants to experience delays in completing the immigration medical examination known as Form I-693, Report of Medical Examination and Vaccination Record.

The service has said that this new change will allow applicants to submit their underlying application for an immigration benefit (I-485 green card application) with a completed Form I-693, even if the civil surgeon signed the medical examination more than 60 days prior. Such applicants will no longer need to undergo another immigration medical examination provided the completed Form I-693 is otherwise valid.

Who will benefit?

The temporary waiver will benefit all applicants applying for adjustment of status to become lawful permanent residents, including Afghan nationals evacuated under Operation Allies Welcome who have completed immigration medical examinations at government-run facilities who were not able to apply for adjustment of status within 60 days of the completed examination. Form I-693 is a required form to establish that green card applicants are not inadmissible to the United States on public health grounds. The medical examination must be conducted by a designated USCIS civil surgeon. To find a qualified medical office please visit our helpful links below.

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We kick off the start of a brand-new week with some important new updates regarding the new COVID-19 vaccination requirement for all immigrant visa applicants, fiancé(e) visa applicants, and nonimmigrant visa applicants. We also share with you some new information regarding Croatia’s designation as a country participating in the Visa Waiver Program. When can Croatians start to apply for ESTA? Find out here!

COVID-19 Vaccine Requirements for Immigrant Visa Applicants Overseas

The Department of State has issued a brand-new press release informing the public that effective October 1, 2021, the Centers for Disease Control and Prevention (CDC) Technical Instructions for panel physicians, will now require all immigrant visa applicants, all K fiancé(e) visa applicants, and nonimmigrant visa applicants who are referred to the panel physicians to receive a full COVID-19 vaccine series (1 or 2 doses depending on formulation) as part of their medical exam prior to being issued a visa.  The CDC is requiring the COVID-19 vaccine to be approved through either the World Health Organization (WHO) or the U.S. Food and Drug Administration (FDA).

Blanket waivers for the COVID vaccination will be applied in countries where the vaccine is not routinely available or when the vaccine is not age appropriate.  The Department of State is encouraging all immigrant visa applicants and others subject to a medical exam to get vaccinated against COVID-19 as soon as possible to avoid delays in their visa processing. If any of the below mentioned circumstances apply a blanket waiver may be available to you.

Circumstances in which Blanket Waivers are available for COVID-19 vaccinations:

  • Where it is not age-appropriate to receive the vaccination
    For COVID-19 vaccines, the age for which a particular vaccine can be administered differs by formulation. If the applicant is younger than the lowest age limit for the formulations in use (less than 12 years of age at the time of posting), this blanket waiver should be documented.
  • In cases where a contraindication exists – a condition that serves as a reason not to take a certain medical treatment due to the harm that it would cause the patient.

If an applicant has a contraindication or precaution to the COVID-19 vaccine formulation available, the “Contraindicated” reason should be documented, and the vaccine should not be administered. If the applicant has had a severe reaction to the first dose that is considered a contraindication to receiving a second dose, the first dose should be documented in addition to the blanket waiver.  Please refer to Interim Clinical Considerations for Use of COVID-19 Vaccines Currently Authorized in the United States for COVID-19 specific information about contraindications and precautions.

  • Where a vaccine is not routinely available
    If no COVID-19 vaccine is routinely available in the state where the Civil Surgeon practices, the “Not routinely available” reason should be documented.  If vaccine is available to the applicant but due to limited supply, it would cause significant delay for the applicant to receive their vaccination, then this situation would also be considered “Not routinely available.”

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In this blog post we share with you some breaking news for green card applicants applying for adjustment of status on Form I-485, as well as those applying for immigrant visas from abroad.

As part of the green card process, USCIS and the Department of State require applicants to undergo a medical examination with a doctor designated as a civil surgeon, to establish that the applicant is not inadmissible to the United States on public health grounds.

According to new guidelines released by the Centers for Disease Control, beginning October 1, 2021, green card applicants will now be required to establish that they have received a complete COVID-19 vaccine series, in order to be deemed eligible for permanent residence. Following the release of this new guidance, COVID-19 was added to the list of vaccinations required of those seeking U.S. lawful permanent residence.

The new vaccine requirement will apply to routine medical examinations necessary for both adjustment of status applicants applying for green cards in the United States and immigrant visa applicants applying at U.S. embassies and consulates abroad.

Who must take the COVID-19 vaccine?

All applicants (1) applying for I-485 adjustment of status (a green card) or (2) those applying for an immigrant visa abroad, who will receive their medical examination from a Civil Surgeon or Panel Physician on or after October 1, 2021, will be subject to this requirement and are encouraged to complete a COVID-19 vaccine series as soon  as possible.

Eligible applicants must complete the COVID-19  vaccine  series if  a  COVID-19  vaccine  listed  for  emergency  use  by  the World  Health  Organization  (WHO)  or  licensed  or  authorized  for  emergency  use  by  the  U.S. Food  and  Drug Administration  (FDA)  is  available  to  the  applicant  in  the  country  where  the  medical  examination  is  conducted.

How can I show that I have met the vaccine requirement?

Applicants must complete the COVID-19 vaccine series and provide documentation of vaccination to the civil surgeon in person before completion of the medical examination.  The COVID-19 vaccination requirement will differ from previous requirements in that the entire vaccine series (1 or 2 doses depending on formulation) must be completed in addition to the other routinely required vaccines.

How long will the COVID-19 vaccine requirement be in place?

These COVID-19 vaccine requirement will be in place until the CDC determines the vaccine is no longer needed to prevent the importation and spread of COVID-19.

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Exciting news for adjustment of status applicants filing their green card applications! On August 12, 2021, the United States Citizenship and Immigration Services (USCIS) announced that the agency will be temporarily extending the validity period of medical examination (known as Form I-693, Report of Medical Examination and Vaccination Record), from two years to now four years due to COVID-19 related delays in processing applications. For those who are unaware, a sealed medical examination signed by a USCIS authorized civil surgeon on Form I-693 is a required component to receive lawful permanent resident status.

Who Will Benefit from this New Policy?

Effective immediately, USCIS will extend your Form I-693 medical examination if all of the following is true:

  • The civil surgeon’s signature on the medical examination (Form I-693) is dated no more than 60 days before the applicant filed Form I-485, Application to Register Permanent Residence or Adjust Status;
  • No more than four years have passed since the date of the civil surgeon’s signature on Form I-693; and
  • A decision on the applicant’s Form I-485 is issued on or before Sept. 30, 2021.

Why is the validity of the medical exam being extended?

According to USCIS, this change is being made temporarily due to COVID-19 related processing delay that have affected the ability of many applicants to complete the required immigration medical examination. Previously, USCIS considered a completed Form I-693 to retain its validity for two years after the date the civil surgeon signed, as long as the date of the civil surgeon’s signature was no more than 60 days before the applicant filed for adjustment of status. Now the validity of the medical examination Form I-693 is being extended to four years (see the criteria above).

USCIS also revealed that it will be approving a record number of employment-based adjustment of status applications, with more approvals than it has issued since FY 2005.  The agency has prioritized the processing and adjudication of employment-based adjustment of status applications during this fiscal year. The agency vows to continue to make processing and resource allocation decisions to increase the pace of adjudications and limit the potential for employment-based visa numbers to go unused.

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Good News for Adjustment of Status Applicants! The United States Citizenship and Immigration Services (USCIS) is updating its policy, extending the validity of Form I-693 Report of Medical Examination and Vaccination Record, submitted along with an application for an immigration benefit (such as an I-485 Application for Adjustment of Status).

Effective November 1, 2018, Form I-693 will be valid for a maximum period of 2 years from the date of the civil surgeon’s signature on Form I-693, provided that the civil surgeon signs the medical examination 60 days before the date the applicant files an application for an underlying immigration benefit with USCIS.

Previously, Form I-693 was only valid for a period of one year from the date of the civil surgeon’s signature.

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