U.S. Citizenship and Immigration Services is extending our temporary waiver of the requirement that civil surgeons must sign Form I-693, Report of Medical Examination and Vaccination Record, no more than 60 days before an individual applies for the underlying immigration benefit (including Form I-485, Application to Register Permanent Residence or Adjust Status).

The waiver was originally effective until Sept. 30, 2022, but we have extended it to March 31, 2023, to further ease processing delays and associated difficulties in timely completing the immigration medical examination. This waiver applies to all Forms I-693 associated with applications for underlying immigration benefits that have not been adjudicated, regardless of when the application was submitted to USCIS or when a civil surgeon signed the Form I-693.

This waiver will help applicants who have been affected by the COVID-19 pandemic and related processing delays, which have sometimes delayed immigration medical examinations. It also will help many applicants, including Afghan nationals evacuated under Operation Allies Welcome, who completed immigration medical examinations but could not apply for adjustment of status within 60 days of a civil surgeon signing their Form I-693.

For more information, see the policy alert (PDF, 355.58 KB). Visit our Policy Manual Feedback page to comment on this update.