If you previously submitted a medical exam with your Adjustment of Status green card petition that did not require the COVID-19 vaccination, you may not need to submit a new medial exam, as long as the old one is still valid and it was signed by a civil surgeon before October 1, 2021.
Example
You filed your Adjustment of Status petition in January 2021 and you already submitted Form I-693 (medical exam) with the petition. You now received a notice that you interview was scheduled for December 2021 and you are wondering whether you will need to re-do your medical exam, since the new medical form and guidance requires that green card applicants have the Covid-19 vaccination and when you submitted your I-693, this was not needed.
The answer is that you do not need to re-do your medical exam if: (i) it is still valid and (ii) it was signed by a civil surgeon before October 1, 2021. The USCIS states that the new guidance that requires that green card applicants are vaccinated against COVID-19 (that went into effect on October 1, 2021) only applies prospectively, meaning it only applies to I-693 medical exams that are signed by civil surgeons on or after October 1, 2021.
How long is my medical exam valid for?
USCIS announced in August 2021 that it temporarily extended the validity of the medical exams from 2 to 4 years, so the medical is valid 4 years from the date it was signed by the civil surgeon (but this is only for cases that were adjudicated on or before September 30, 2021). For other cases, the medical exam remains valid for 2 years.
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