Since at least 2004, in response to backlogs in certain preference categories, the U.S. Citizenship and Immigration Services (USCIS) had agreed to extend the validity of the civil surgeon’s endorsement on Form I-693 until the time of adjudication. This policy has generally been extended annually. The most recent extension was issued on September 4, 2013, and is set to expire on May 31, 2014.
Effective June 1, 2014, certain Forms I-693 (medical examination) submitted to USCIS in connection with adjustment of status applications more than one year prior will no longer be valid. In anticipation of this change in policy, Requests for Evidence (RFE) are being sent to notify applicants that the Form I-693 they provided in support of their adjustment application is about to exceed its validity period.