Two Options for Submitting Form I-693

USCIS allows applicants to submit Form I-693 in two ways: concurrently with the Form I-485 at the time of filing, or at the USCIS interview in a sealed envelope. Both approaches are acceptable, and the right choice depends on the client's specific circumstances.

Understanding the pros and cons of each approach helps attorneys advise clients effectively and avoid common pitfalls.

Option 1: Submit With the I-485 (Recommended)

Submitting Form I-693 concurrently with the I-485 is generally the preferred approach. This allows USCIS to begin reviewing the medical examination immediately and reduces the number of steps required at the interview.

The main advantage of this approach is simplicity: the form is submitted once and does not need to be tracked separately. The main risk is that if the case is delayed significantly, the form may expire before adjudication.

Option 2: Bring to the USCIS Interview

Some attorneys prefer to have clients bring Form I-693 to the USCIS interview in a sealed envelope. This approach gives the attorney more control over the document and allows the exam to be scheduled closer to the interview date, reducing the risk of expiration.

The main risk of this approach is that the client may forget to bring the form to the interview, which can result in a rescheduled interview or a request to submit the form separately after the interview.

Pros and Cons Comparison

Consider these factors when advising clients on timing:

• Submit with I-485: Simpler process, no risk of forgetting at interview, but form may expire if case is delayed
• Bring to interview: More control over timing, lower expiration risk, but requires client to remember the form
• Both approaches: Form must be in a properly sealed envelope with civil surgeon's signature across the seal
• Both approaches: Form must be within the 2-year validity window at the time of submission
• Interview submission: USCIS officer will take the sealed envelope at the interview

Special Considerations for Delayed Cases

For cases expected to have long processing times, attorneys should consider the risk of Form I-693 expiring before adjudication. In these cases, it may be better to wait until closer to the interview date to schedule the exam, then bring the form to the interview. This minimizes the risk of expiration while still ensuring the form is ready when needed.