In an effort to increase efficiency and reduce the number of Requests for Evidence issued, U.S. Citizenship and Immigration Services (USCIS) announced on December 2, 2024 that it now requires Form I-693, Report of Immigration Medical Examination and Vaccination Record, to be submitted together with Form I-485, Application to Register Permanent Residence or Adjust status, for certain applicants.
Medical examinations conducted by an approved civil surgeon are generally required from applicants for adjustment of status in order to show that such applicants are not rendered ineligible under the health-related grounds of inadmissibility. Effective immediately, if an applicant is required to submit Form I-693 or a partial Form I-693 (e.g. Vaccination Record), it must be submitted together with Form I-485. If Form I-485 is filed without Form I-693, it may be rejected by USCIS.