USCIS is now requiring that the Form I-693 Medical Examination & Vaccination Record be submitted with the I-485 Application for Adjustment of Status to Legal Permanent Resident. Rather than issue an RFE for the Form I-693 Medical Examination, USCIS may reject the I-485 Application if it is filed without a medical.

It is important to comply with this new policy to avoid delays in the processing of your Form I-485 Application for Adjustment of Status. You should make sure to check the Checklist of Required Initial Evidence for Immediate Relatives and Family-Based Preference Form I-485 Applicants prior to filing to confirm you have enclosed all of the required initial evidence to avoid delays in the processing of your application.

Additional information on the immigration benefits that require an immigration medical examination and vaccinations, and whether a civil surgeon or panel physician should conduct the immigration medical examination is available in Vol. 8, Part B, Chapter 3 – Applicability of Medical Examination and Vaccination Requirement of the USCIS Policy Manual.