USCIS-Immigration-interview-green-card-adjustment-of-status-medical-examination-exam-I-485

Immigration News: USCIS is Expanding Potential Waivers for Interviews in Family-Based Adjustment of Status Applications

This means that you are encouraged to now include form I-693, Report of Medical Examination an Vaccination Record, at the time of filing to avoid receiving a Request for Evidence. USCIS has not explained the exact methods in determining which cases warrant waiver of interviews but say that the determination can happen at several points in the adjudication process.

Generally, there's a rule that the I-693 must be dated no more than 60 days before the I-485 is submitted.  However, due to COVID and processing delays, that rule has been waived until March 31, 2023.

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