Immigrant medical record Form I-693 must now be renewed with each immigration form submission. A United States Citizen and Immigration Services (USCIS) policy change introduces stricter guidelines on immigrant medical records. USCIS claims the former policy presented multiple public health risks. The new policy is effective immediately.

The new policy mandates Form I-693 cannot be submitted more than once. If an individual submits a Form I-693 with a Form I-485, or Application to Register Permanent Status of Adjust Status, they cannot submit the same one with a different immigration form. If the Form I-485 application is denied they’ll also need to submit a new Form I-693 on their new application.

USCIS claims having multiple submissions of the same immigrant medical record was a public health risk. Under the new policy, immigration authorities have access to the most current medical information. This is why applicants are required to get proof of certain vaccinations on their medical record. The COVID-19 vaccine is no longer on that list as of March 11, 2025.

It’s uncertain that immigration medical records were submitted prior to the change will still be processed. It’s also unclear if there are any exemptions to this new policy. Individuals applying for an adjustment of status or any other immigration form requiring an I-693 should make sure the form is still valid before submitting. Complying with the most recent policies and making sure all information is up to date increases the chances of acceptance.

As always, ImmigrationUSA actively monitors ongoing U.S. immigration news. If you have questions about any U.S. immigration related issue, contact us. Working with an experienced attorney ensures you get the right advice based on the most recent laws. In an ever-evolving immigration policy landscape, we’re with you every step of the way.