What is USCIS's new policy for green card applicants starting from 11 June? Here's a rundown
What does the new policy say? Effective 11 June 2025, all new green card applications must include a fresh medical examination form, regardless of whether the applicant had submitted one previously.
The agency's latest update replaces a policy introduced just over a year ago, which had allowed applicants to reuse Form I-693—the 'Report of Immigration Medical Examination and Vaccination Record'—indefinitely, as long as it was properly filled out and signed by a certified civil surgeon.
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'Form I-693, Report of Immigration Medical Examination and Vaccination Record, signed by a civil surgeon on or after Nov. 1, 2023, is only valid while the application the Form I-693 was submitted with is pending,' the USCIS said in its statement.
'If the application a Form I-693 was submitted with is withdrawn or denied, that Form I-693 is no longer valid. This guidance is effective immediately and applies to applications pending or filed on or after June 11, 2025.'
It details that if a green card application is denied or withdrawn, the accompanying medical form cannot be reused. Any subsequent application will now require a new medical examination and an updated I-693 form.
'Most aliens subject to health-related grounds of inadmissibility must have an immigration medical examination to demonstrate they are not inadmissible,' USCIS added.
'In general, aliens applying to adjust status must submit Form I-693 to show they are free from any conditions that would render them inadmissible under the health-related grounds of inadmissibility. We may require an alien who would otherwise not be required to undergo an immigration medical examination to submit a Form I-693 as a matter of discretion, if the evidence indicates that there may be a public health concern.'
The now-revoked April 2024 guidance had made the validity of Form I-693 indefinite. 'We have since determined that the April 4, 2024, policy is overly broad and could potentially threaten public health in the United States,' USCIS said.
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