Effective March 31, 2023, USCISno longer requires that the medical exam (Form I-693) be submitted to USCISwithin 60 days of the civil surgeon’s signature.  Medical exams remain valid for two yearsafter the civil surgeon’s signature, regardless of when the underlying immigrationapplication was submitted to USCIS, including I-485 applications for greencards. 

USCIS indicates that this new policywill allow the USCIS to process I-485 applications more expeditiously insteadof requesting updated medical exams.  USCISalso clarified that civil surgeons must use the current edition of Form I-693as of the date of the civil surgeon’s signature and comply with the CDC’sTechnical Instructions for Civil Surgeons in effect at the time of thecivil surgeon’s signature.