Two questions come up at almost every immigration exam we do: “Can I open the envelope to check it?” and “How long is my I-693 good for?” The answers changed in recent years, so here is where things stand.
Never open the sealed envelope
When your exam is complete, the civil surgeon puts the signed Form I-693 in a sealed envelope. USCIS only accepts the form in that envelope, unopened. If the seal is broken or the envelope is tampered with, USCIS can reject the form and you may need a new exam.
- Keep the envelope flat, dry and somewhere safe.
- If you want a copy for your records, ask the clinic for one — don’t open the envelope to make your own.
- If you are working with an attorney, give them the envelope exactly as you received it.
File the I-693 with your I-485
Since December 2, 2024, USCIS requires the signed I-693 to be submitted at the same time as Form I-485 (Application to Register Permanent Residence or Adjust Status). An I-485 filed without the medical form can be rejected. In practice, this means you should do your exam before you file, not after.
How long is the I-693 valid?
Under the current policy, a properly filed I-693 stays valid for as long as the I-485 it was filed with is pending. You do not need to redo it while USCIS processes that application. If your I-485 is denied or withdrawn and you file a new one, you will generally need a new medical exam.
What if my exam was done under the old rules?
Forms signed before the change, or exams done for a case that is no longer pending, may not be usable for a new filing. Ask your attorney or check the latest guidance on uscis.gov — and if you need a fresh exam, we can usually see you quickly.
Quick summary
- Do not open the envelope.
- File the I-693 together with your I-485.
- It stays valid while that I-485 is pending.
USCIS rules change from time to time. This article is general information, not legal advice; confirm details with your immigration attorney or on uscis.gov.
Getting ready to file? Book online or call or text (224) 899-5959. Same $375 flat price at both our Villa Park and Des Plaines clinics.
General information, not medical or legal advice. Your civil surgeon decides what applies to you; for case questions, ask your attorney or see uscis.gov/i-693.
