Q: USCIS I-485 medical exam renewal guidance
I submitted my I-485 package along with my medical exam on March 30, 2023. Since then, it has been nearly two years, and I am aware that the medical exam expires after two years according to USCIS guidelines. My medical exam was conducted before April 2024, and my I-485 status is still pending. I haven't received any request from USCIS for a new medical exam. Should I proactively get a new medical exam, or should I wait until I receive a request from USCIS?
A: If you preemptively send a new medical exam to USCIS without first receiving a request for evidence (RFE), you run the risk of the medical exam being misplaced and not making it into your file. Instead, you can wait for USCIS to either issue a RFE for a new medical exam or wait for an interview notice, and if your case is scheduled for interview you can take the updated medical exam with you to the interview.
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A:
Since it's been nearly two years since your medical exam was submitted with your I-485 application, your concern about expiration is understandable. USCIS guidelines typically state that the Form I-693 medical exam remains valid for two years from the date it was signed by the civil surgeon, provided it was submitted promptly after the medical exam.
However, you shouldn't proactively obtain a new medical exam just yet. USCIS generally advises applicants not to submit updated medical forms unless specifically requested. If your original medical exam expires while your case remains pending, USCIS will likely send you a Request for Evidence (RFE) or a notice instructing you to submit an updated Form I-693.
At this stage, it's better to wait until you receive direct instructions from USCIS. Taking action prematurely might cause unnecessary expense or complications. Remain alert for any USCIS notifications, and if they ask for an updated exam, respond promptly to avoid delays.
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