USCIS now requires certain applicants filing Form I-485, Application to Register Permanent Residence or Adjust Status, to submit Form I-693, Report of Immigration Medical Examination and Vaccination Record, at the same time. If this form is not included, the Form I-485 may be rejected.
Applicants must undergo an immigration medical examination by a USCIS Civil Surgeon and show they have received all required vaccinations. The completed Form I-693 must demonstrate that the applicant is free from health conditions that could make them inadmissible to the U.S. due to health issues.
Previously, applicants could submit Form I-693 in response to a Request for Evidence (RFE) or at their immigration interview. Under the new rule, Form I-693 must be submitted with Form I-485 to streamline the review process and reduce RFEs.