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The medical examination report which people submit as part of the I-485 applications is supposed to be valid only for one year. However, due to the delay of I-485 processing for the past several years, the USCIS has been extending such medical report annually by releasing their policy decision.

The medical report which was issued before January 1, 2005 or earlier was supposed to expire on January 1, 2006 unless the USCIS makes such extension decision. Now all of the medical reports for the pending I-485 cases will be automatically extended until January 1, 2007.

USCIS Regional Directors Service Center Directors

This memorandum temporarily extends the validity of civil surgeon endorsements on Form I-693 for certain adjustment of status applicants. For adjustment of status applicants, the endorsement of a civil surgeon on Form I-693, Medical Examination of Aliens Seeking Adjustment of Status, is generally valid for one year. Some adjustment of status applications are concurrently filed with an immigrant visa petition as provided for at 8 CFR 245.2(a)(2).

These applications are filed with a Form I-693 as required by 8 CFR 245.5. Some of these applications remain pending for more than the one-year validity period. In a policy memorandum dated December 2, 2004, U.S. Citizenship and Immigration Services (CIS) extended the validity of the civil surgeon endorsement on Form I-693 until the adjustment of status application could be adjudicated.

This policy was issued in consultation with the Centers for Disease Control and Prevention (CDC) and is limited to those applications where no Class A or Class B medical condition was certified. The policy was in effect until January 1, 2006. Due to the continuing backlog of some concurrently filed adjustment of status applications, the validity of the civil surgeon’s endorsement on Form I-693, when submitted in support of a concurrently filed adjustment of status application as provided for at 8 CFR 245.2(a)(2), is extended until the time of adjudication if no Class A or Class B medical condition is certified by the civil surgeon. This policy is in effect until January 1, 2007.

Questions regarding the above policy should be directed via DHS electronic mail to Jeffrey Robins, HQ Office of Program and Regulation Development (OPRD).


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