USCIS Introduces New Requirement for I-485 Applications: What You Need to Know

USCIS updated the Form I-485 filing instructions in December 2024, and this information is still relevant in June 2026. Under the current guidance, certain adjustment of status applicants who are required to submit Form I-693 must file it together with Form I-485, and USCIS may reject the I-485 if the required medical exam is not included.

Why this matters
This change is important because it means applicants should plan ahead and complete their medical exam before filing, instead of waiting for a later Request for Evidence. USCIS said the update was intended to reduce delays and improve processing efficiency.

What applicants should do
Applicants should visit a USCIS-designated civil surgeon, bring vaccination records and relevant medical history, and make sure Form I-693 is completed correctly and placed in a sealed envelope before filing. The requirement applies to adjustment of status cases filed inside the United States, not consular immigrant visa processing abroad.