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USCIS Changes Validity Period for Medical Exam Form I-693 Signed on or after Nov. 1, 2023

6/12/2025

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06/11/2025

USCIS updated Volume 8 of the USCIS Policy Manual to clarify that a Form I-693, Report of Immigration Medical Examination and Vaccination Record, signed by a civil surgeon on or after Nov. 1, 2023, is only valid while the application the Form I-693 was submitted with is pending.

If the application a Form I-693 was submitted with is withdrawn or denied, that Form I-693 is no longer valid. This guidance is effective immediately and applies to applications pending or filed on or after June 11, 2025.
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Under this updated policy, if an alien submitted Form I-693 with their Form I-485, Application to Register Permanent Residence or Adjust Status, and then they withdrew their Form I-485 or we denied it, then if they submit a future Form I-485, they must submit a newly completed Form I-693 signed by a civil surgeon.
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Effective January 22, 2025, USCIS Waives COVID-19 Vaccination Requirement for Adjustment of Status Applicants

1/23/2025

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Effective January 22, 2025, USCIS Waives COVID-19 Vaccination Requirement for Adjustment of Status Applicants. This vaccine is lo longer required for an application for a Green Card.

Effective Jan. 22, 2025, USCIS is waiving any and all requirements that applicants for adjustment of status to that of a lawful permanent resident present documentation on their Form I-693, Report of Immigration Medical Examination and Vaccination Record, that they received the COVID-19 vaccination.

USCIS will not issue any Request for Evidence or Notice of Intent to Deny related to proving a COVID-19 vaccination. USCIS will not deny any adjustment of status application based on the applicant’s failure to present documentation that they received the COVID-19 vaccination.

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22 января 2025 USCIS отменили требование о првивке от Ковида-19 для иммигрантов подающих на грин карту. Теперь если вы подаете на грин карту и делаете медосмотр, вам прививка от Ковида уже не нужна.

Если вы уже подали и получили  RFE, вам стоит ответить на этот запрос, но прививка не требуется.

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Effective December 2 2024 you are required to submit Form I-693, Medical Exam, with Your I-485

12/4/2024

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Начиная с 2 декабря 2024, если вы подаете на грин карту по форме I-485 в USCIS, как смена статуса adjustment of status - вы обязаны пройти и приложить медосмотр, форма I-693, вместе с вашим заявлением на грин карту. Иначе вы можете получить отказ (а не запрос RFE, как было ранее).

If you are applying for a Green Card by filing a form I-485, as adjustment of status.

Effective Dec. 2, 2024, if you are required to submit Form I-693, Medical Exam, or a partial Form I-693 (such as the Vaccination Record), you must submit it with your Form I-485. Otherwise, USCIS may reject your Form I-485 if submitted without a required medical exam.

​Read the alert here https://www.uscis.gov/i-485 

If you need help or advice, please email or use our online scheduler at Calendly.com/lubasmal

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Medical Exam USCIS I-693 Signed After November 1 2023 Remains Valid Indefinitely

4/5/2024

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On April 4, U.S. Citizenship and Immigration Services (USCIS) issued policy guidance in the USCIS Policy Manual stating that immigration medical examinations properly completed and signed by a civil surgeon on or after Nov. 1, 2023, on Form I-693, Report of Immigration Medical Examination and Vaccination Record, do not expire and retain their evidentiary value indefinitely. Previous rule was that all properly completed Forms I-693 retained their evidentiary value for two years from the date of the civil surgeon’s signature.    
USCIS has determined that a properly completed Form I-693 signed by a civil surgeon on or after Nov. 1, 2023, does not expire and can be used as evidence to show that the applicant is not inadmissible on health-related grounds indefinitely.

If an applicant’s Form I-693 was completed before Nov. 1, 2023, the prior policy still applies. Before Nov. 1, 2023, civil surgeons did not need to share or report certain information to the CDC electronically. USCIS has consulted with the CDC and determined that a properly completed Form I-693 signed by a civil surgeon before Nov. 1, 2023, continues to retain evidentiary value for two years from the date of the civil surgeon’s signature. 

This does not apply to 
Forms I-693 filed by Operation Allies Welcome parolees. Their Forms I-693 retain their evidentiary value for three years from the date of the civil surgeon signature, through policy and in consultation with CDC. For more information see the USCIS Policy Manual, Volume 8, Part B, Chapter 4.
 
Even in cases in which an applicant’s Form I-693 is valid as outlined above, USCIS officers have discretion to request more evidence or a new or updated Form I-693 if they have reason to believe the applicant’s medical condition has changed since the civil surgeon signed the Form I-693, or that the Form I-693 submitted does not accurately reflect the applicant’s medical condition.   
More Information.

По новому закону медицинский осмотр, форма I-693, подписанный врачем после 1 ноября 2023, и поданный в USCIS при подаче заявления на Грин Карту, остается действительным и не истекает.
​Медосмотр подписанный врачем до 1 ноября 2023 истекает через два (2) года по старому закону.

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USCIS Permanently Removed 60 Days for Signature Requirement for I-693 Medical Exam

4/4/2023

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In general, noncitizens applying for certain immigration benefits while in the United States must use Form I-693 to show they are free from any conditions that would render them inadmissible under the health-related grounds.1 Currently, USCIS considers a completed Form I-693 to retain its evidentiary value for 2 years after the date the civil surgeon signed the form, as long as the date of the civil surgeon’s signature is no more than 60 days before the applicant filed the application for the underlying immigration benefit. This is commonly referred to as the “60-day rule.”

Due to the COVID-19 pandemic and ongoing related processing delays, USCIS has experienced delays in all aspects of operations. Applicants have also experienced difficulties beyond their control, including delays with completing the immigration medical examination. In response, USCIS has temporarily waived the requirement that the civil surgeon sign Form I-693 no more than 60 days before the applicant files the underlying application since December 9, 2021.

​USCIS is now removing this requirement permanently. Applicants, civil surgeons, USCIS officers, federal partners, and other stakeholders have consistently expressed concern that this requirement is confusing and necessitates Requests for Evidence (RFEs) to be issued for otherwise valid Forms I693. While the 60-day rule was intended to enhance operational efficiency and reduce the need to request updated Forms I-693 from applicants, in practice these efficiencies have not been realized.2 This guidance, contained in Volume 8 of the Policy Manual, is effective immediately and applies to all Forms I-693.

Policy Memo.

Policy Manual.

С 31 марта 2023 USCIS изменил правила, относящиеся к дате подписи врача на медосмотре для грин карты, форма I-693.

Ранее требовалось, чтобы подпись врача была датирована не позже, чем 60 дней ДО подачи заявления на грин карту.

По новому правилу дата подписи врача на медосмотре значения не имеет. Медосмотр может быть подан и после истечения 60 дней с момента подписи врача.

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New Edition of Medical Exam I-693 Effective Date May 31 2023

4/1/2023

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On March 9, 2023, USCIS released a new edition of the Form I-693, Medical Examination. Effective May 31, 2023, only this new edition will be accepted. Until then, you can submit an ol, prior edition.

​Starting May 31, USCIS will accept only the 03/09/23 edition. Until then, you can also use the 07/19/22 edition.

Save time by submitting Form I-693, Report of Immigration Medical Examination and Vaccination Record, at the same time you file Form I-485, Application to Register Permanent Residence or Adjust Status.

USCI generally considers a completed Form I-693 to remain valid for 2 years after the date the civil surgeon signed Form I-693.
Filing your Form I-485 with Form I-693 may eliminate the need for us to issue a Request for Evidence (RFE) to obtain your Form I-693, which delays review of your application until you respond to the RFE.

Начиная с 31 мая 2023 USCIS будет принимать только новое издание формы I-693 медосмотра (датированное 9 марта 2023). 

Если вы уже прошли медосмотр, и ваш медосмотр на форме I-693 от 2022 года, вам нужно постараться подать ваше заявление на грин карту и медосмотр до 31 мая 2023. Tсли вы не успеете, придется проходить еще один медосмотр. 

Если вы подаете ваш медосмотр вместе с заявлением на грин карту, он будет считаться действительным в течение 2-х лет после подачи.

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U.S. Citizenship Naturalization Test and Interview Form N-400 and New N-648

3/9/2023

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The application for U.S. citizenship is called Application for Naturalization, USCIS Form N-400. 

The most current edition of the form is posted at USCIS website
https://www.uscis.gov/n-400

Currently, the filing fee is US$725.00.

You can submit this application by mail or online.

To submit an application online, you can create your USCIS online account at:

https://my.uscis.gov/

Under Sign In - select Create Account.

You can find additional information and test resources hare: 
https://www.uscis.gov/citizenship/apply-for-citizenship

Presently, the 2008 test is offered ruring the naturalization test:

https://www.uscis.gov/citizenship/find-study-materials-and-resources

You can watch naturalization videos here:
https://www.uscis.gov/citizenship/learn-about-citizenship/the-naturalization-interview-and-test 

In 2023, USCIS started redesigning the test. During the webconference on March 3, 2023, they explained what the pilot program is, and advised that USCIS expectation for the leval of English language proficiency is ESL Level 3. 

The Medical Exception, Form N-648, was also recently redesigned, and the new process is in effect since 2022.

Form N-648: Medical Certification for Disability Exceptions.

When you seek a medical certification for disability exception because of a physical or developmental disability or mental impairment that prevents you from learning English and civics, please keep in mind the following:
  • There is no filing fee for Form N-648. However, a medical professional may charge a fee for a medical examination and for filling out forms.
  • Only a medical doctor, doctor of osteopathy, or clinical psychologist licensed to practice in the United States may certify Form N-648. You may contact your state medical board to determine whether the medical professional has a valid license.
  • An authorized medical professional must evaluate you in person or where the state law permits, a real-time telehealth examination, and diagnose you with a condition that prevents you from completing the educational requirements in order to qualify for the N-648.
  • Read and sign the Applicant’s (Patient’s) Attestation/Release of Information. A legal guardian, surrogate, or designated representative, may also sign for an applicant who is unable to undergo any part of the naturalization examination because of a physical or developmental disability or mental impairment

Below is a list of main changes in the new Form N-648:
  • The new Form N-648 is much shorter and has been cut in half from the previous version, from 9 pages to 4.5 pages.
  • Part 1, Applicant Information, has been shortened. The new form no longer requests the applicant’s Social Security Number or address.
  • The number of questions in Part 3, Information About Disabilities and/or Impairments, has been greatly reduced and simplified to just key information. In particular, the question about the applicant’s daily life activities in the previous version has been deleted. The following questions have also been deleted: questions about the description of the disabilities, cause of the disabilities, dates of diagnosis, dates of onset, date/location the doctor first examined the applicant, frequency of treatment, if the doctor is the one who regularly treats the applicant, duration of treatment, name of regularly treating medical professional, and explanation of why this doctor is certifying the form instead of the regularly treating medical professional.
  • Also in Part 3, the previous questions about the clinical diagnosis and the connection between the disability/impairment and inability to meet the testing requirements have been combined in the first question.
  • A new section has been added: Part 4, Ability to Understand Oath of Allegiance, in which the medical professional is asked if the applicant is able to understand and communicate an understanding of the oath. In our earlier comments, we asked USCIS to remove this question from the form. The USCIS Policy Alert explains that the intent of this question is to streamline the oath waiver process by eliminating the need for a separate oath waiver request. However, we are concerned that this question will trigger a big increase in unnecessary oath waiver requests. Most doctors will not understand the oath requirements and will indicate that the applicant requires an oath waiver. Then, the applicant will need a legal guardian, a surrogate, or a designated representative who is a U.S. citizen to testify on their behalf, creating another barrier for those who cannot easily meet this requirement. CLINIC plans to raise these concerns with USCIS and request additional training for medical professionals and adjudicators on the oath waiver. In the meantime, advocates will need to work closely with the medical professional to ensure they answer “yes” if the applicant is capable of taking the oath.
  • Part 5, Interpreter Information and Certification, distinguishes between in-person interpretation and telephonic interpretation and has clear instructions on how to complete this section when a telephonic interpreter was used.
  • In Part 6, Applicant’s (Patient’s) Attestation/Release of Information, the signature box notes that an applicant can make a mark if they are unable to sign. This is something we requested in our comments.
  • Part 7, Medical Professional’s Certification, has been simplified, with key information enumerated at the beginning.
  • The Form N-648 Instructions have added information on how to file the N-648 when submitting the N-400 electronically, stating that it can be uploaded as additional evidence. In addition, the instructions have added information to clarify that a legal guardian, surrogate, or designated representative may sign for an applicant who has been deemed legally incompetent.

The USCIS Policy Manual guidance on disability waivers has undergone major revisions that make it consistent with the substance and spirit of the new Form N-648. While the previous version of the policy guidance was harsh and punitive, the new guidance is much more humane and offers more flexibility for applicants in meeting the N-648 requirements. Key changes are discussed below.

Flexibility on N-648 filing date and supplemental informationThe new guidance states that while the N-648 should be submitted as an attachment to Form N-400, “USCIS should accept a Form N-648 submitted after the applicant files the naturalization application” with none of the strict conditions imposed by the previous guidance (Part B).

If the first N-648 is not sufficient, the applicant can submit an updated form with additional information rather than a new N-648. “The resubmitted form must be signed and dated by the same medical professional who signed the original Form N-648” and will be accepted even if the form edition is now expired and no longer in use. “USCIS will also accept a letter or other medical documentation addressing the Form N-648 deficiencies, if it is signed and dated by the same medical professional who signed the Form N-648” (Part G, Section 2).

Flexibility in determining when Form N-648 is sufficient

While the previous guidance required that every question on the Form N-648 be answered fully, the new guidance provides a lot more flexibility. The guidance states that “an officer reviews the Form N-648 in its totality” and an officer reviewing the Form N-64 may determine that it is sufficient “even if some of the questions have incomplete responses… if the file and testimony establish that the applicant is eligible” (Part G).

If information is missing from the N-648, the guidance states that “the officer should review any extra documents provided by the medical professional to determine if the information completes the Form N-648” (Part E). In addition, the guidance states, “Before determining that a Form N-648 is insufficient due to missing information, officers should review all sections to confirm that the information needed does not appear in a different section of the form” (Footnote 24). The N-648 may not be found insufficient solely because Diagnostical and Statistical Manual of Mental Disorders (DSM) or International Classification of Diseases (ICD) codes are missing “if the medical professional has provided a sufficient description of the clinical diagnosis” (Footnote 20). Similarly, the officer “should not determine that the form is insufficient solely because the date of last examination is missing on the form if the date can be confirmed during the naturalization interview.” (Footnote 21). If their signatures are missing on the form, the officer may allow the applicant or the interpreter to sign the form at the interview (if the interpreter was the same one used during the medical professional’s examination) (Footnote 13).

Limited reasons for credible doubtThe list of examples of credible reasons to doubt the validity of the form in Part F, Section 4 has been shortened quite a bit and includes, for example, “The medical professional who completed the Form N-648 is under investigation for immigration fraud, Medicaid fraud, or other fraud schemes.” However, it is still open to a lot of interpretation by adjudicators and includes the catch-all example of “Any other articulable grounds that are supported by the record.” Providing multiple N-648s with different diagnoses and information remains a credible reason to doubt the validity of the Form N-648 in the new guidance, so legal advocates still need to review N-648s carefully for consistency when the client has more than one. In two places, the new guidance states that “in general, USCIS should accept the medical professional’s diagnosis” (Part F, Section 4 and Part G).

While the previous guidance emphasized that the regularly treating medical professional should complete Form N-648, this emphasis has been removed from the new guidance. In the past, if the form was completed by a different medical professional and lacked a sufficient explanation of why, this could be cause for credible doubt and lead to a denial.

Telehealth examinationIn Part E, the new policy guidance states that USCIS may accept a Form N-648 certified by a licensed medical professional who completed a telehealth exam. The medical professional must adhere to their state telehealth laws and requirements.

Increased transparency and communication with the applicantThe new guidance appears to improve transparency and communication with the applicant regarding the sufficiency of Form N-648. For example, if an applicant submits more than one N-648 and there are significant discrepancies between the documents, “the officer must provide the applicant with an opportunity to explain discrepancies” (Part B, Section 2). Later, it states again, “The officer must provide the applicant an opportunity to address any specific discrepancies or inconsistencies during the interview” (Part 4, Section F). If the form is insufficient, “The officer must explain why they found the form insufficient in the applicant’s preferred language, using an interpreter if needed” (Part G, Section 2). This is stated again in Part H, Section 2: “The officer must explain the reasons for insufficiency in the applicant’s preferred language verbally during the interview, using an interpreter if needed.” Before requesting a supplemental Form N-648, the officer must seek supervisory approval and “Explain to the applicant, through an RFE, the reasons for doubting the veracity of the information on the original Form N-648.” (Part F, Section 4).

Additional information can be found in November 2022 guidance.

If you have any questions, please email us to ask questions or to schedule a consultation.
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I693 Medical Exam 60 Day Signature Rule Waiver Extended to March 31, 2023

9/20/2022

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UPDATE 09-29-2022:

U.S. Citizenship and Immigration Services is extending a temporary waiver of the requirement that civil surgeons must sign Form I-693, Report of Medical Examination and Vaccination Record, no more than 60 days before an individual applies for the underlying immigration benefit (including Form I-485, Application to Register Permanent Residence or Adjust Status).

The waiver was originally effective until Sept. 30, 2022, but was extended it to March 31, 2023, to ease processing delays and associated difficulties in timely completing the immigration medical examination.

This waiver applies to all Forms I-693 associated with applications for underlying immigration benefits that have not been adjudicated, regardless of when the application was submitted to USCIS or when a civil surgeon signed the Form I-693.
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This waiver will help applicants who have been affected by the COVID-19 pandemic and related processing delays, which have sometimes delayed immigration medical examinations. It also will help many applicants, including Afghan nationals evacuated under Operation Allies Welcome, who completed immigration medical examinations but could not apply for adjustment of status within 60 days of a civil surgeon signing their Form I-693.
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A reminder that a temporarily waiver of a 60-day signature rule for a medical exam, form I-693, ends on September 30, 2022.

It applies to those who are preparing to file the form I-485, Application for Adjustment of Status, and needs a medical examination, form I-693.

USCIS Temporarily Waiving 60-Day Rule for Civil Surgeon Signatures
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U.S. Citizenship and Immigration Services is temporarily waiving the requirement that the civil surgeon sign Form I-693, Report of Medical Examination and Vaccination Record, no more than 60 days before an applicant files an application for the underlying immigration benefit (including Form I-485, Application to Register Permanent Residence or Adjust Status), until Sept. 30, 2022.  
This temporary waiver will help applicants who have been affected by the COVID-19 pandemic and related processing delays, which have sometimes caused delays in completing the immigration medical examination. Temporarily allowing applicants to submit their underlying application for an immigration benefit with a completed Form I-693, even if the civil surgeon signed more than 60 days prior, will allow individuals to complete the application process without the need to undergo another immigration medical examination if Form I-693 is otherwise valid.  
Read more here: 

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Effective July 2022, Ukraine Immigrant Visa Applicants Can Have Medical Examination in Lviv, Ukraine

8/5/2022

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Недавно что поменялись правила проведения медосмотра для иммиграционных виз для украинцев. Украинцы обращающиеся за иммиграционными визами, визами невесты, и грин картами через лотерею - теперь смогут пройти медосмотр во Львове на территории Украины. Это будет намного легче и быстрее!
 
МЕДИЦИНСКИЙ ОСМОТР В КИЕВЕ, УКРАИНА 

Больница Шептицкого, ул. Озаркевича, 4, Львов, Украина 
http://spital.org.ua/ 
Tel (044) 584 36 67 (044) 584 36 68 050 028 62 58 (Viber)
Email: [email protected]  
 
Линк к посольству США в Варшаве.с этими новостями:

https://pl.usembassy.gov/visas/immigrant-visas/medical-examination/
 
По линку по русски информация про медосмотр
 
https://pl.usembassy.gov/wp-content/uploads/sites/23/IV-F11-RUS-medical-exam-info-Jul-2022.pdf

Важная информация о требованиях вакцинации от COVID-19 для детей!
Согласно требованиям Центра по контролю и профилактике заболеваний, с 25 июля 2022 года все дети в возрасте 6 месяцев и старше должны быть полностью вакцинированы против COVID-19. Полный цикл состоит из 3 доз вакцины Pfizer или 2 доз вакцины Moderna. Полная вакцинация ребенка от COVID-19 может занять не менее 12 недель.
Жителям России и Белоруссии рекомендуем проходить медицинское обследование в Москве или Минске. As of September 8, 2021, applicants who are processing their immigrant visa case in Warsaw may visit a panel physician in Moscow for the required medical examination.
As of July 2022 visa applicants from Ukraine may now undergo medical examination at the Sheptytskyy Hospital in Lviv.

Briefly in English:

Recently, the US embassy in Warsaw, Poland designated a medical clinic in Lviv, Ukraine to administer medical exams (form I-693) required for Ukrainians applying for immigrant visas and fiancee visas.

Embassy posted updated information here. 

It should speed up significantly process of preparing for an immigrant visa interview.
 
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Temporary Waiver of a 60-day Rule for Medical Exam I-693 from 12-09-2021 until 09-30-2022

12/9/2021

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USCIS is temporarily waiving the requirement that the civil surgeon sign the medical exam Form I-693, Report of Medical Examination and Vaccination Record, no more than 60 days before an applicant files an application for the underlying immigration benefit (including Form I-485, Application to Register Permanent Residence or Adjust Status).

This temporary rule is effective December 9, 2021 until September 30, 2022, and applies to all Forms I-693 associated with applications for underlying immigration benefits that have not been adjudicated, regardless of when the application was submitted or when the Form I-693 was signed. 

This temporary waiver will help applicants who have been affected by the COVID-19 pandemic and related processing delays, which have sometimes caused delays in completing the immigration medical examination. Temporarily allowing applicants to submit their underlying application for an immigration benefit with a completed Form I-693, even if the civil surgeon signed more than 60 days prior, will allow individuals to complete the application process without the need to undergo another immigration medical examination if Form I-693 is otherwise valid.

In Russian: 

С 9 декабря 2021 по 30 сентября 2022 временно отменено правило о том, что медосмотр должен быть подписан врачем в течение 60 дней перед подачи заявлений в USCIS. Это временное правило относится ко всем заявлениям, вне зависимости от того, когда они были поданы и когда были подписаны врачем. Срок действия до 30 сентября 2022.

USCIS Policy Update dated 12/09/2021 is published here. 
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COVID-19 Vaccine Required for Immigrants Effective October 1, 2021

9/3/2021

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Effective October 1, 2021, with few exceptions, those applying for permanent residence (green card) must be vaccinated against COVID-19. Covid-19 was classified by the CDC as a “Class A inadmissible condition”. The new vaccine requirements apply to foreign nationals applying for adjustment of status in the United States (filing Form I-485) when completing the I-693 medical examination with a designated USCIS civil surgeon. It also applies to foreign nationals applying for an immigrant visa or refugee status at a US consulate and undergoing a medical examination with a panel physician.

Regarding the I-485, the CDC  said that the applicant “must complete the COVID-19 vaccine series and provide documentation of vaccination to the civil surgeon in person before completion of the medical examination.” The COVID-19 vaccination requirement differs from previous requirements in that “the entire vaccine series (1 or 2 doses depending on formulation) must be completed in addition to the other routinely required vaccines. COVID-19 vaccinations can now be given at any time, without regard to the timing of other vaccinations.” Acceptable vaccines include Pfizer-BioNTech, Moderna, and Johnson & Johnson.
Panel physicians in countries outside the US may accept vaccines authorized for emergency use or approved by the US Food and Drug Administration  or vaccines listed for emergency use by the World Health Organization. In addition to the three vaccines used in the US, the WHO lists many other vaccines used outside the US such as AstraZeneca, Covishield and Covaxin, Sputnik, Sinopharm and Sinovac, among others. 
Waivers are available. Applicants may also apply for an individual waiver on religious or moral grounds.
Until now, even if a country was subject to a Covid ban, one applying for an immigrant visa is exempted from the ban.  
US citizens, permanent residents and noncitizens with US citizen or permanent resident children are exempted from the ban. So are those who can obtain national interest exception waivers on a variety of grounds. 
Applicants that do not qualify for an exemption or waiver to this policy and refuse one or more doses of a COVID-19 vaccine series will be deemed inadmissible to the United States and denied a green card.
Read more here.
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Bill to Recapture 40,000 Unused Green Cards for Medical Doctors and Nurses

5/6/2020

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On May 4, 2020, a bipartisan group of Senators introduced a bill to recapture 40,000 unused green cards/immigrant visas, and give them to much needed doctors and nurses.
This is not a new law yet, but a bill. See text at https://www.durbin.senate.gov/…/Healthcare%20Workforce%20Re…
The Healthcare Workforce Resilience Act would speed the ability of foreign-born healthcare workers to become lawful permanent residents of the United States and allow them to assist in responding to the COVID-19 pandemic.
The bill would recapture unused immigrant visas for 25,000 nurses and 15,000 doctors that Congress had previously authorized and allocate them to those who can help in the fight against COVID-19. The proposal does not increase current immigration numbers.
“This proposal would simply reallocate a limited number of unused visas from prior years for doctors and nurses who are qualified to help in our fight against COVID-19.”
“Consider this: one-sixth of our health care workforce is foreign-born. Immigrant nurses and doctors play a vital role in our health care system, and their contributions are now more crucial than ever."
The Healthcare Workforce Resilience Act would do the following:
Recapture unused green cards from previous years for doctors, nurses and their families;
Exempt these visas from per-country caps;
Require employers to attest that immigrants from overseas who receive these visas will not displace American workers;
Require the DHS and the State Department to expedite the processing of recaptured visas; and
-->Limit the filing period for recaptured visas to 90 days following the termination of the President’s COVID-19 emergency declaration. Given the 90-day limit, U.S. health care providers who wish to sponsor doctors and nurses for green cards need to do so without delay.
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I-693 Medical Exam Must be Signed Within 60 Days of Filing and Valid for 2 years

10/16/2018

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​USCIS Policy Manual Update:

​USCIS is revising policy guidance for the validity period of Form I-693, Medical Examination. The updated policy goes into effect on November 1, 2018, and will require applicants to submit a Form I-693 signed by a civil surgeon no more than 60 days before filing.

The Form I-693 will remain valid for a 2-year period following the date the civil surgeon signed it (not submitted, but signed).


Read here.
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Updated USCIS and Consular Procedures for Cuba

12/22/2017

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On December 22, 2017, USCIS announced that due to staff reductions at the U.S. Embassy in Havana, Cuba, USCIS will temporarily suspend operations at its field office in Havana, effective immediately.

During this time, the USCIS field office in Mexico City, Mexico, will assume Havana, Cuba jurisdiction.


Cuban Family Reunification Parole (CFRP) Program - remains in place, and USCIS is working with the U.S. Department of State to ensure that the CFRP Program continues to operate and will announce arrangements for interview/travel document processing for CFRP beneficiaries soon.

More information is here.

Cuban Medical Professional Parole (CMPP) Following-to-Join Spouse or Child - remains in place (agreement signed by the previous Administration on January 12, 2017), and USCIS is working with the U.S. Department of State to ensure that CMPP following-to-join cases continue for spouses and children to be processed and will announce arrangements for interview/travel document processing soon.

​More information is here.

General information about the U.S. Embassy in Havana, Cuba is available on the embassy website. You may also contact the embassy by calling 011(53)(7)839-4100 or by mailing to: 
U.S. Embassy Havana, Calzada between L & M, Vedado Havana, Cuba.

For emergency inquiries, you can continue contacting the USCIS Havana Field Office at [email protected]. For any other information on the services we provide, please contact the USCIS field office in Mexico City.

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