Immigration Advice Service
+1 844 290 6312 (local rate)

Mon - Sun, 8.30 am - 6 pm

Find an office

7 offices in US


Attorneys based in the
USA and the UK
Licensed USA
Immigration attorneys
We've had over 5000 applications approved
Get the correct advice from qualified immigration experts
4.7 rating 414 reviews

USCIS waives 60-day Civil Surgeon Signature Rule

As a way to hasten the adjustment of status for immigrants in the United States and lessen USCIS backlogs, medical evaluation forms will no longer be required to be dated within 60 days of a petition under a new temporary signature waiver valid until September 2022.

If you need assistance with your U.S. immigration application, give our experienced immigration attorneys a call at +1 844 290 6312. Our immigration experts are here to help you online, over the phone, or in person.

    Request a call back from our immigration experts

    The Signature Waiver on the Medical Exam

    Effective as of December 9th, 2021 to September 30th, 2022, the U.S. Citizenship and Immigration Services (USCIS) will no longer be required that the civil surgeon’s signature on Form I-693 (Report of Medical Examination and Vaccination Record) be dated within 60 days before filing for permanent residence in the United States or for any other immigration benefits.

    Before this waiver took place on December 9th, any Form I-693 that was signed more than 60 days before filing was immediately disqualified and classified as invalid, causing many applicants to be forced to pay and obtain another medical examination. The temporary waiver that is effective immediately is intended to aid in the processing of applications (particularly those for green cards) and help lessen the ever-increasing backlogs and waiting times at the USCIS.

    As part of the application process for immigrant visas, all applicants are required to undergo a mandatory medical examination complete with receiving the necessary vaccinations before they enter the United States. This medical exam and vaccinations must be conducted and signed off by a certified physician. If an applicant is in the United States and would like to adjust their status and apply for a green card, the medical examinations must be performed by a civil surgeon who has been chosen by the USCIS.


    Why the waiver is needed

    The ’60-Day-Rule’ of a civil surgeon signature on the medical evaluation form created another immigration hurdle for those applicants in the United States who wished to adjust their status and/or apply for another immigration benefit.

    Due to the Covid-19 pandemic, the USCIS has since faced additional delays in both processing and operations, creating a massive backlog in applications as a result. In addition, applicants have faced similar obstacles including delays in completing their medical examinations. As a result, most medical forms were deemed invalid by the time they were finally processed causing further delays and complications.

    This waiver will also greatly aid all the Afghan nationals who were evacuated under the Department of Homeland Security’s (DHS) efforts in July and August of 2021 and who are undergoing adjustment of status while in the United States.

    What are the rules for the medical exam signature?

    Applicants within the United States who are required to complete and submit Form I-693 must have their medical evaluation signed by either a USCIS-designated physician or civil surgeon. The signature is no longer required to be dated within 60 days of the application however it must be dated no longer than 2 years old. This rule applies to dependent applications as well whose medical evaluation forms will need to be dated no more than 2 years at the time of petition.

    Do you need help with your U.S. visa? Our lawyers can assist you. Get in touch

      Request a call back from our immigration experts

      You may be interested in reading about.

      We can help you if you need help with your U.S. Visa application. Call us now

        Request a call back from our immigration experts

        Advice Package icon

        Advice Package

        Comprehensive immigration advice tailored to your circumstances and goals.

        Application Package icon

        Application Package

        Designed to make your visa application as smooth and stress-free as possible.

        Fast Track Package icon

        Fast Track Package

        Premium application service that ensures your visa application is submitted to meet your deadline.

        Appeal Package icon

        Appeal Package

        Ensure you have the greatest chance of a successful appeal. We will represent you in any case.

        Advice Package image

        The Advice Package

        With our untimed Advice Session, our professional immigration lawyers will review your case and provide you with comprehensive advice, completely tailored to your needs and your situation.

          Request a call back from our immigration experts

          Request the Advice Package
          Application Package image

          The Application Package

          With our Application Package, your dedicated caseworker will advise you on your application process and eligibility. Your legal advisor will then complete and submit your forms to the Home Office on your behalf.

            Request a call back from our immigration experts

            Request the Application Package
            Fast Track Package image

            The Fast Track Package

            Our Fast-Track Application Package is a premium service for those who need to submit their application in time with their deadlines. Your case will become a top priority for our lawyers and you will benefit from our highest-quality services.

              Request a call back from our immigration experts

              Request the Fast Track Package
              Appeal Package image

              The Appeal Package

              By choosing our Appeal Package, you can rely on our lawyers’ legal knowledge and experience to ensure you have the highest chance of a successful appeal. We will also fully represent you in any hearings/tribunals.

                Request a call back from our immigration experts

                Request the Appeal Package