Youtube: When to have the I-693 Adjustment of Status Medical Evaluation?


The Adjustment of Status Medical Evaluation uses the USCIS Form I-693. The I-693 medical evaluation has a shelf-life of one year. When an Adjustment of Status is using concurrent filing, the medical evaluation can be submitted with the I-130 and I-485. Additionally, it can be submitted at the future Immigration Interview.

If USCIS wishes to have the medical evaluation prior to the Immigration Interview, then they would issue a “Request For Evidence” or RFE, to which the applicant would have to submit the medical evaluation within 87 days or less. However, be sure to follow whatever is instructed in the USCIS RFE.

USCIS has published that the medical examination report may be submitted to USCIS at any time after filing the I-485 Adjustment of Status Application, but prior to the adjudication of that application.

If the I-130 and I-485 are not filed concurrently, USCIS encourages applicants to wait until USCIS requests the medical examination report before submitting it. Alternatively, if no RFE is issued, the medical evaluation then must be submitted at the future Immigration Interview.

If you have any concerns, you should speak with a local Immigration Attorney, or you may call Fickey Martinez Law Firm, P.L.L.C. at (910) 526-0066 or email at


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