Can I Use the Same Form I-693 for Multiple USCIS Applications?

Form I-6934 min read readUpdated January 2025

Can I Use the Same Form I-693 for Multiple USCIS Applications?

Quick Answer

Generally, a single Form I-693 can only be used for one USCIS application. If your first application is denied or withdrawn and you file a new application, you will typically need a new immigration medical examination. Consult your immigration attorney for guidance specific to your situation.

One Form I-693 Per Application

USCIS policy generally requires a separate Form I-693 for each immigration application. Because Form I-693 is submitted in a sealed envelope that USCIS opens during adjudication, the original form is consumed by the first application. If you need to file a second application — for example, after a denial or withdrawal — you will need a new sealed Form I-693, which requires a new immigration medical examination.

When You Might Need a Second Form I-693

The most common situations requiring a second Form I-693 include: your first I-485 application was denied and you are refiling; your first application was withdrawn; your Form I-693 expired before USCIS adjudicated your case; or USCIS issued an RFE requesting an updated medical examination. In all of these situations, you will need to schedule a new examination with a USCIS-designated civil surgeon.

Can a Valid Form I-693 Be Transferred Between Applications?

In very limited circumstances, USCIS may allow a Form I-693 from one application to be used for a related application — for example, if you are changing the basis of your I-485 application. However, this is not a standard practice and depends on the specific facts of your case. Consult your immigration attorney to determine whether your existing Form I-693 can be used for a new or amended application.

The Validity Period and Multiple Applications

Even if you are filing a second application, your Form I-693 must still be within its 2-year validity period to be used. If your original Form I-693 has expired, you will need a new examination regardless of whether you are filing a first or subsequent application. Always check the validity of your Form I-693 before filing any new immigration application.

Planning Ahead to Minimize Costs

If you anticipate that your immigration case may involve multiple applications or a lengthy adjudication process, discuss this with your immigration attorney before your medical examination. In some cases, strategic timing of your examination can help ensure that your Form I-693 remains valid throughout the process. Our office can work with you and your attorney to plan the timing of your examination appropriately.

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