Do I Need Form I-693 to Renew My Green Card?
Quick Answer
No. Renewing a green card using Form I-90 (Application to Replace Permanent Resident Card) does not require a new immigration medical examination or Form I-693. Form I-693 is only required when applying for adjustment of status (Form I-485) — that is, when first obtaining lawful permanent residence, not when renewing an existing green card.
Green Card Renewal vs. Adjustment of Status
It is important to understand the difference between renewing a green card and applying for adjustment of status. Renewing a green card means replacing an expired or expiring green card for someone who is already a lawful permanent resident. This is done using Form I-90. Adjustment of status means applying to become a lawful permanent resident for the first time (or in certain other circumstances). This is done using Form I-485. Form I-693 is required for Form I-485, not for Form I-90.
Why Form I-693 Is Not Required for I-90
When you renew your green card using Form I-90, you are already a lawful permanent resident. USCIS has already adjudicated your admissibility — including the medical examination — when you first obtained your green card. Renewing the card is an administrative process that does not require a new admissibility determination. Therefore, no new medical examination or Form I-693 is required.
When a New Medical Examination IS Required
A new immigration medical examination and Form I-693 are required when you file a new Form I-485. This can happen if your original green card application was denied and you are refiling, if you are applying for a different immigration benefit that requires adjustment of status, or in certain other circumstances specified by USCIS. If you are unsure whether your situation requires a new examination, consult your immigration attorney.
Conditional Green Card Holders
If you have a conditional green card (valid for two years) and are filing Form I-751 to remove the conditions on your residence, you do not need a new Form I-693. Form I-751 is not an application for adjustment of status — it is a petition to remove conditions on an existing green card. No new medical examination is required for Form I-751.
Other Situations That Do Not Require Form I-693
In addition to green card renewal (I-90) and removal of conditions (I-751), other immigration applications that do not require Form I-693 include naturalization (Form N-400), re-entry permits (Form I-131), and most employment authorization applications (Form I-765). Form I-693 is specifically tied to the adjustment of status process. If you are unsure whether your application requires a medical examination, consult your immigration attorney.
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