USCIS Removes 60-Day Rule for Medical Exam Form

US Citizenship and Immigration Services (US CIS) has recently changed the way Form I 693 is submitted for green card applicants undergoing the immigration exam to attain permanent resident status The requirement, for civil surgeon signatures, within 60 days has been eliminated to give applicants greater flexibility. 

Previous Requirement:

In the regulation, candidates had to make certain that their authorized medical professional signed Form I. 693 Within a 60-day window before filing for their residency application. If the form was submitted after this specified period it might lead to rejection of the application. Trigger a Request, for Evidence ( RFE ) leading to delays and anxiety. 

New Change:

With the removal of the 60-day deadline, applicants can now submit the medical exam results form up to two years after the civil surgeon signs it. This provides several benefits for applicants:

  1. More Flexibility: Applicants have more time to find a qualified civil surgeon to conduct the medical examination and complete the necessary form without worrying about the 60-day limit.
  2. Reduced Risk of Delays: The new rule reduces the likelihood of RFEs or rejections due to the medical form being submitted outside the original 60-day window.
  3. Fewer Resubmissions: Applicants no longer have to worry about having to resubmit documents if they submit the form later than the 60-day limit after the civil surgeon’s signature.

Why Was the Change Made?

USCIS stated that while the 60-day rule was intended to increase operational efficiency and minimize the need for applicants to submit updated forms, it did not achieve the desired results. The change is aimed at improving the experience for applicants by reducing unnecessary administrative hurdles and delays.

This update should make the green card application process smoother for many applicants, giving them more time to submit all necessary documentation without the added pressure of the previous 60-day deadline.

How the Removal of the 60-Day Rule Affects Applicants

The removal of the 60-day rule by U.S. Citizenship and Immigration Services (USCIS) has significant implications for applicants seeking to adjust their status in the United States. This change, effective March 31, 2023, allows for greater flexibility in submitting medical examination forms (Form I-693) and reduces stress associated with processing times.

Benefits of the Change for Applicants

  1. Flexibility for Applicants: Previously, applicants had to ensure that their medical examination was conducted and signed by a civil surgeon no more than 60 days before filing their Form I-485 (Application to Register Permanent Residence or Adjust Status). This often led to confusion and potential delays if applicants were unable to meet this timeframe. With the removal of this requirement, applicants can now submit a Form I-693 signed up to two years prior to their application, significantly easing the pressure on timing.
  2. Reduced Stress: The new policy alleviates anxiety surrounding the medical exam process. Applicants can complete their medical exams without the looming deadline of the 60-day rule, allowing them to focus on other aspects of their application.

Who This Change Applies To

The removal of the 60-day rule applies to various categories of applicants, including:

  • Family-Based Applicants: Individuals applying for adjustment of status through family sponsorship.
  • Employment-Based Applicants: Those seeking permanent residency based on employment.
  • Asylum Seekers: Individuals who have been granted asylum and are adjusting their status.

This broad applicability ensures that many applicants can benefit from the increased flexibility.

Implications for the Adjustment of Status Process

Overall Impact on Adjustment of Status

The removal of the 60-day rule is expected to streamline the overall adjustment of the status process. By allowing USCIS to accept medical exams that are valid for up to two years, there will likely be:

  1. Fewer Denials: The elimination of this restrictive timeframe reduces the risk of denials related to outdated medical examinations, which previously required Requests for Evidence (RFEs) when forms were submitted outside the 60-day window.
  2. Faster Processing Times: With fewer RFEs issued due to invalid medical exams, USCIS can process applications more efficiently, leading to quicker decisions on adjustment requests.

Steps Applicants Should Take Now

To take advantage of this policy change, applicants should consider the following steps:

  1. Schedule Your Medical Exam: If you haven’t already completed your medical exam, schedule an appointment with a USCIS-approved civil surgeon. Ensure that you understand what vaccinations and tests are required.
  2. Submit Form I-693 with Your Application: When filing your Form I-485, include your completed Form I-693. There’s no longer a need to worry about timing it within 60 days.
  3. Prepare Supporting Documents: Gather all necessary documentation related to your application, including proof of eligibility based on your category (family-based, employment-based, etc.).
  4. Stay Informed: Keep abreast of any further changes in immigration policies or procedures that may affect your application process.

Preparing Without Worrying About the Previous 60-Day Limit

With the removal of the 60-day limit, applicants can now focus on ensuring their medical forms are complete and accurate without rushing through the process. This allows for a more thorough preparation phase where:

  • Documentation is Double-Checked: Ensure all required information is accurately filled out on Form I-693.
  • Vaccination Records Are Up-to-Date: Verify that all vaccinations are current as per USCIS requirements.

Additional Tips for a Smooth Application Process

  1. Review All Instructions Carefully: Pay close attention to USCIS instructions regarding Form I-485 and Form I-693 submissions.
  2. Keep Copies of All Submitted Forms: Maintain copies for your records in case you need to reference them later or if issues arise during processing.
  3. Consult Legal Counsel if Needed: If you have questions or concerns about your application or eligibility, consider consulting an immigration attorney who can provide tailored advice.
  4. Monitor USCIS Updates: Regularly check the USCIS website or subscribe to updates regarding immigration policies and procedures.

Potential Pitfalls Despite the Change

The recent changes to the medical exam requirements for green card applicants under USCIS have introduced new rules that applicants must navigate carefully. While these changes aim to streamline the process, potential pitfalls remain.

Common Mistakes Applicants May Still Make

  1. Forgetting to Submit Other Required Documentation: Many applicants may focus solely on the medical exam and overlook other essential documents required for their Form I-485 submission. This can lead to delays or outright rejections of applications.
  2. Submitting an Expired Medical Exam: With the new rules, it’s crucial to ensure that the medical examination is current and meets USCIS standards. Submitting outdated medical exams can result in complications.
  3. Neglecting Vaccination Records: Applicants must ensure they have up-to-date vaccination records as part of their medical exam. Missing vaccinations can lead to delays in processing.

How to Ensure the Medical Exam Is Still Current and Accepted by USCIS

To ensure your medical exam is accepted:

  • Choose a USCIS-Approved Civil Surgeon: Only medical exams conducted by approved civil surgeons are valid for immigration purposes. You can find a list of authorized doctors on the USCIS website.
  • Schedule Your Exam Close to Application Submission: To avoid issues with expiration, schedule your medical exam as close as possible to your application submission date.

When Should Applicants Submit Their Medical Exam?

A Guide on the Best Time to Submit the Medical Exam Form

Applicants should submit Form I-693 (Report of Medical Examination and Vaccination Record) at the same time as their Form I-485 application. This change, effective December 2, 2024, means that failure to include the medical exam results with your application may lead to rejection.

Why Applicants Should Aim to Submit It Early in Their Application Process

Submitting the medical exam early can help:

  • Avoid Delays: By including all necessary documentation up front, applicants minimize the risk of receiving Requests for Evidence (RFEs) from USCIS.
  • Streamline Processing: Early submission allows USCIS to process applications more efficiently since all required documents are provided together.

Additional Tips for a Smooth Application Process

  1. Double-Check All Forms: Ensure that all forms are completed accurately and thoroughly before submission. Small errors can lead to significant delays.
  2. Keep Copies of Everything: Maintain copies of all submitted documents, including your medical exam results and any correspondence with USCIS.
  3. Stay Informed About Changes: Regularly check the USCIS website or subscribe to updates regarding immigration policy changes that may affect your application.
  4. Prepare for Your Medical Exam: Bring necessary documents, such as your vaccination records and identification, to your medical appointment to ensure a smooth process.
  5. Consult Legal Counsel if Needed: If you have questions or concerns about your application, consider consulting an immigration attorney who can provide guidance specific to your situation.

Current Date: January 7, 2025

As we assess these processes today, applicants must remain vigilant about their responsibilities under the new rules.

How Law and Visas Can Help?

At Law and Visas, our team of expert immigration consultants is here to make your travel to the US straightforward and successful. Whether you’re applying for a Green Card, Visitor Visa, or Study Visa, we handle every step from preparing your application to gathering the required documents.

Our immigration Consultants and Lawyers ensure that your application meets the highest standards, with no details missed. We’ll also keep you informed throughout the process and coordinate with the immigration office or embassy on your behalf.

Law and Visas has a strong record of helping clients secure the visas/permits they need in the US. Call us today at +234 812 5505 986 to learn how we can assist you.

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