Effective December 2, 2024, USCIS announced that it is requiring adjustment of status applicants to include a completed Form I-693 medical examination when submitting the Form I-485. Otherwise, USCIS may reject Form I-485 if the I-693 medical examination is not submitted together. This announcement is a departure from USCIS’ recent practice of accepting a Form I-485 filing, even if it was not concurrently filed with the Form I-693. USCIS indicated that this policy update aims to simplify and speed up the application process by reducing the number of Requests for Evidence (RFEs) issued during the I-485 process.

 

Applicants who are required to submit an I-693 medical examination with their I-485 filing (including all family and employment-based applicants) should submit both forms together or risk a rejection of their I-485 filing.