The USCIS Medical Exam procedure changed in 2018 In October 2018, the Department of Homeland Security put out new guidance for the USCIS medical exam, also known as "Form I-693 Report of Medical Examination and Vaccination Record." As of the November 1, 2018 update the I-693 form can only be signed 60 days before the underlying I-485 family-based or employer-based adjustment of status …
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