Immigration Medical Examination Documentation Will Be Valid Indefinitely for Certain Afghan Nationals

We are updating guidance in the USCIS Policy Manual, Volume 8, Part B, Chapter 3, to reflect that immigration medical examination documentation for certain Afghan nationals who arrived in the United States during Operation Allies Welcome (OAW) is valid indefinitely. This means that Afghan nationals who arrived in the United States during OAW and meet certain conditions will not have to repeat an immigration medical examination when they apply to adjust their status to lawful permanent resident (also known as getting a Green Card).

This updated guidance is effective immediately and applies to any Form I-485, Application to Register Permanent Residence or Adjust Status, that is pending or filed on or after November 13, 2024. This updated guidance applies to Afghan nationals who arrived in the United States during OAW and received a full immigration medical examination either in the United States (documented on Form I-693, Report of Immigration Medical Examination and Vaccination Record) or outside the United States (documented on Form DS-7794, Electronic Medical Examination for Visa Applicant, or Form DS-2054, Medical Examination for Immigrant or Refugee Applicant). This guidance aligns with a recent decision by the Centers for Disease Control and Prevention.

For more information, see the Policy Alert (PDF, 202.63 KB).