Generally, all applicants for adjustment of status to that of a lawful permanent resident must submit Form I-693, Report of Medical Examination and Vaccination Record, completed by a physician designated by the U.S. Citizenship and Immigration Services (USCIS).
On May 30, 2014, USCIS issued revised guidance regarding the validity of Form I-693. According USCIS’ new policy, effective June 1, 2014, Form I-693 must be submitted within one year of completion and signature by the civil surgeon, and will be valid for one year after submission to USCIS. Importantly, the new USCIS policy dictates that the medical examination form will no longer be required as initial evidence and may be submitted at any time after filing the immigration benefit application but prior to adjudication. If the medical examination form is not filed concurrently, USCIS encourages applicants to wait until the medical examination form is requested by USCIS either through the issuance of a Request for Evidence (RFE) or through a notice to bring a completed medical examination form to the interview.