|A medical examination completed before Nov. 1||Use the I-693 dated 7/20/10|
|A medical examination completed between Nov. 1 and Dec. 31, 2011||Use the I-693 dated 10/11/11, though USCIS will continue to accept the 7/20/10 version|
|A medical examination completed on or after Jan. 1, 2012||You must use the I-693 dated 10/11/11|
If a medical examination completed on or after Jan. 1, 2012, is reported using an outdated form, USCIS will reject the form, requiring the applicant to return to the civil surgeon and resubmit the new form.
USCIS requires most applicants seeking to adjust to lawful permanent resident status to submit Form I-693 to report the results of a medical examination by a designated civil surgeon, confirming that an applicant is admissible to the United States on public health grounds.