If you are navigating the U.S. Green Card or Adjustment of Status process (Form I-485), one of the most critical questions you will face is: “How long is my Form I-693 immigration medical exam valid?”
The short answer depends on when your Civil Surgeon signed the document and whether your application remains active.
Quick Summary: Current USCIS Rules
Signed On or After Nov 1, 2023: Valid indefinitely, but only for the specific application it was originally filed with.
Application Denied or Withdrawn: The medical exam becomes void immediately. You cannot reuse it for a future filing.
Application Rejected (Administrative Error): You can resubmit the returned I-693 form with your corrected application package.
Need an Exam in Central Indiana? Lab On Demand provides official USCIS Civil Surgeon medical exams and vaccination updates for patients across Indianapolis and surrounding areas.
What Are the Current USCIS Rules for I-693 Validity?
USCIS updated its Policy Manual regarding Form I-693 (Report of Immigration Medical Examination and Vaccination Record) to clarify how long completed exams remain valid.
Under policy updates, any Form I-693 signed by a USCIS-designated Civil Surgeon on or after November 1, 2023, remains valid while the immigration application (Form I-485) it was submitted with is still pending. You no longer need to worry about your medical exam expiring simply because USCIS processing takes longer than two years.
However, USCIS instituted a single-use restriction:
Your Form I-693 is strictly tied to that specific application.
If your application is denied or withdrawn, the validity of that Form I-693 ends immediately.
If you refile in the future, you must undergo a brand-new medical examination and submit a new Form I-693 signed by a Civil Surgeon.
When Will You Need a New Form I-693?
You must complete a new immigration medical exam if:
Your Green Card Application Was Denied: You cannot recycle your previous medical exam for a new filing.
You Withdrew Your Application: Withdrawing an I-485 to re-apply under a different visa category invalidates the old medical record.
Public Health Concern / Change in Condition: USCIS officers retain discretionary authority to request an updated exam if there is a known change in your health status or a public health concern.
Incorrect Form Edition Used: Your Civil Surgeon must use the active form edition required by USCIS on the date of signature.
Local Immigration Medical Exams in Indianapolis & Central Indiana
Navigating immigration paperwork can be overwhelming, but getting your medical clearance doesn’t have to be. Lab On Demand is a trusted provider of official USCIS Civil Surgeon medical exams, titers, and required immigration vaccinations.
Local Areas We Service:
We proudly serve immigration applicants throughout Greater Indianapolis and surrounding communities, including:
Marion County: Downtown Indianapolis, Speedway, Lawrence, Beech Grove
Hamilton County: Carmel, Fishers, Noblesville, Westfield
Hendricks County: Plainfield, Avon, Brownsburg
Johnson County: Greenwood, Franklin
Whether you are preparing your initial I-485 concurrent filing package or need a new Form I-693 after a refiling, our designated Civil Surgeons ensure your paperwork and vaccination records meet 100% of USCIS standards.
Learn More About Immigration Vaccination Requirements
Are you missing required vaccines or not sure which immunizations you need for your age group?
👉 Read Our Complete Guide:
Navigating Immigration Vaccines for Your I-693
Frequently Asked Questions (FAQ)
How long is Form I-693 valid once signed?
For forms signed by a Civil Surgeon on or after November 1, 2023, the I-693 remains valid for as long as the underlying immigration application is pending with USCIS.
Can I reuse my I-693 if my Green Card application is denied?
No. If your application is denied or withdrawn, the medical exam becomes invalid and cannot be reused for future filings.
What happens if USCIS rejects my application package?
If USCIS rejects your submission (for instance, due to an incorrect fee or missing signature) and returns your unsealed or opened Form I-693, you are permitted to resubmit that same Form I-693 along with your corrected filing package and rejection notice.
Where can I get an I-693 medical exam in Indianapolis?
You can complete your exam at Lab On Demand, serving patients in Indianapolis, Carmel, Fishers, Greenwood, and throughout Central Indiana.