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Who must submit Form I-693? Most applicants filing for adjustment of status to become a lawful permanent resident must submit Form I-693 completed by a designated civil surgeon. Certain other applicants may also be required to submit Form I-693 completed by a civil surgeon.
Keep in mind the following timeframes for your application: You have 60 days from the date the civil surgeon signed your Form I-693 to file Form I-485 with USCIS. The USCIS will issue a decision on the application within two years of the date the civil surgeon signed Form I-693.
Family-Based Form I-485 Processing Time Application centerProcessing timeLos Angeles CA7 Months to 23 MonthsLos Angeles County CA8.5 Months to 23 MonthsLouisville KY8.5 Months to 25.5 MonthsManchester NH8.5 Months to 25.5 Months85 more rows
Most people who have responded to an RFE can, however, expect further action by USCIS within about 60 days.
USCIS must make a decision within 2 years of the civil surgeon signing Form I-693.
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After your exam, you may be asked to sign a few forms. Once the paperwork is completed and signed, your medical records and your Form I-693 will be sealed in an envelope. Dont break the seal, or the USCIS may not accept it.
After completing your immigration medical examination, the civil surgeon must give you, the applicant, the completed Form I-693 in a sealed envelope. Do not accept it if it is not in a sealed envelope. We will return the form to you if it is not in a sealed envelope, or if the envelope has been opened or altered.
Applicants will need to bring several items to their medical exam appointment, such as proof of identity, a list of current medications, any relevant medical records, and payment for the exam fee. In some cases, applicants may also be required to have chest x-rays taken at the time of the exam.

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