How Long Is an Immigration Medical Exam Valid?

The immigration medical exam is a key requirement for many U.S. immigration processes, including applying for a Green Card, adjustment of status, or consular processing. One of the most common questions applicants ask is: How long is an immigration medical exam valid?


What Is the Immigration Medical Exam?

The immigration medical exam is an evaluation performed by a USCIS-authorized physician (Civil Surgeon) or a panel physician approved by a U.S. consulate. Its purpose is to determine whether the applicant:

  • Does not pose a public health risk
  • Meets required vaccination standards
  • Does not have medical conditions that make them inadmissible

The results are documented on Form I-693, which must be signed and sealed by the doctor.


How Long Is the Immigration Medical Exam Valid?

General Validity Rule

In most cases, the immigration medical exam is valid for up to 2 years, as long as:

  • Form I-693 is properly completed and signed
  • The exam is performed by an authorized physician
  • USCIS receives the form within the required time frame


Important: Key Dates to Consider

The validity does not always begin on the date of the exam, but rather depends on when USCIS receives Form I-693.

For example:

  • If USCIS receives the form within 60 days of the doctor’s signature, the exam may be valid for up to 2 years
  • If submitted after that period, the form may be rejected and the exam must be redone


Immigration Medical Exam for Adjustment of Status (Inside the U.S.)

If you are applying for adjustment of status:

  • You may submit the medical exam with your initial application
  • Or provide it later if USCIS requests it

Always make sure the exam is still valid at the time of submission.


Immigration Medical Exam for Consular Processing

For consular cases:

  • The medical exam is typically valid for 6 months, depending on medical findings
  • Certain conditions may shorten this validity period

The U.S. consulate will inform you of the exact timeframe.


What Happens If the Medical Exam Expires?

If the medical exam expires:

  • USCIS may delay or deny your case
  • You may receive a Request for Evidence (RFE)
  • You will likely need to repeat the exam, causing extra time and expense

This is why proper timing is essential.


Factors That May Affect Validity

The exam’s validity can be affected by:

  • Incomplete vaccinations
  • Medical conditions requiring follow-up
  • Changes in USCIS policies
  • Errors on Form I-693


Tips to Avoid Problems

  • Schedule the exam when your case is ready to move forward
  • Use only USCIS-authorized doctors
  • Make sure the form is properly sealed
  • Keep copies for your records
  • Consult an immigration attorney if you have concerns


Can I Use an Old Immigration Medical Exam?

Generally, no. USCIS requires that the medical exam be valid at the time a decision is made. An outdated exam can result in delays or denials.