In December 2021, USCIS announced that it would waive the requirement that the medical exam, Form I-693, be signed by the civil surgeon no more than 60 days prior to filing the I-485, Application to Register Permanent Residence or Adjust Status (green card application). This waiver of the 60-day rule was set to expire on September 30, 2022. USCIS just announced that this waiver has been extended to March 31, 2023.
This extension will provide additional flexibility to I-485 applicants and allow them to avoid having to undergo a second medical exam in many instances while still encouraging applicants to file the I-485 as soon as possible after completing the medical exam.
The I-693 medical exam will continue to remain valid for two years from the date of the civil surgeon’s signature, regardless of when the I-485 is filed.