The U.S. Citizenship and Immigration Services has implemented a new requirement for certain applicants filing Form I-485, Application to Register Permanent Residence or Adjust Status. Applicants now must submit Form I-693, Report of Immigration Medical Examination and Vaccination Record, together with their Form I-485 at the time of filing. If this is not done, the Form I-485 may be rejected.

Key Aspects of the New Requirement:

1. Medical Examination and Vaccination Requirement: Applicants for adjustment of status must complete a medical examination by a civil surgeon and ensure all required vaccinations are up to date. The completed Form I-693, signed by the civil surgeon, will confirm that the applicant is free from health conditions that could make them inadmissible under U.S. immigration laws.
2. Submitting Form I-693 with Form I-485: If you are required to submit Form I-693 or a partial version (like the Vaccination Record), it must be filed with Form I-485. Failure to do so may result in the rejection of your application.
3. Objective of the Change: The change aims to reduce the number of Requests for Evidence (RFEs) that USCIS issues before making a decision on Form I-485 applications. By requiring the submission of Form I-693 upfront, the process is expected to be more streamlined.

This policy change makes it crucial for applicants to be aware of the new submission requirements to avoid delays or rejections of their adjustment of status applications.

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policy-manual/volume-8-part-b-chapter-3

https://www.uscis.gov/i-693