New Medical Exam Rule for Green Card Applicants Effective June 11, 2025
So there’s some big news that’s making waves in the U.S. immigration space — and if you or someone you know is applying for a green card, this is important. Starting June 11, 2025, there's a significant change to the medical examination requirement for green card applicants, and the United States Citizenship and Immigration Services (USCIS) has already put it into effect.
Here’s the deal. In the past, once you got your medical examination done and submitted Form I-693 — that’s the official Report of Immigration Medical Examination and Vaccination Record — it pretty much remained valid indefinitely. Even if your green card application was withdrawn or denied, you could reuse that same medical form for a new application. Well, not anymore.
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Now, under this new rule, if your previous application was rejected or withdrawn, that old medical form becomes completely invalid. It doesn’t matter if it was signed recently or was technically still “valid” under the old rules. If you’re submitting a new application, you need a new Form I-693, signed by a civil surgeon — every single time.
This is a shift back from the brief policy the USCIS introduced in April 2024, which allowed indefinite validity for the medical form. That decision was later considered too broad and, frankly, risky for public health. Officials now say that letting old medical reports stay active for too long could open the door to health risks, especially when people’s medical conditions might change over time.
The updated rule is aimed at ensuring green card applicants get timely, up-to-date medical checks. This move reflects the agency’s push to prioritize public health, especially considering the unpredictable nature of global diseases and health emergencies.
USCIS has made it clear: from now on, your Form I-693 is only valid for the application it was filed with — and only while that application is active. Once it's denied or withdrawn, so is the medical form. Simple as that.
This might feel like a small procedural update, but for applicants, it could mean delays, extra appointments, and additional costs. So if you're preparing to file or re-file your green card application, be sure to double-check this requirement — because skipping it or assuming your old form still works could land your case in the rejection pile.
It’s a good reminder that immigration policy is always evolving, and staying up to date is not just smart — it's necessary.
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