On August 12, 2021, U.S. Citizenship and Immigration Services made the announcement that it is temporarily increasing the validity of the medical examination that is submitted in conjunction with an application for permanent residence. Specifically, the Form I-693, Report of Medical Examination and Vaccination Record is a document required as part of the process to apply for permanent residency in the United States. Previously, this form was valid for two years after the date of the U.S. civil surgeon’s signature so long as the medical form was submitted not more than 60 days before the applicant submitted their application for permanent residence. Now, this new rule extends this two-year validity to four years. Driven by COVID-related processing delays, this extension will prevent applicants from having to request a costly new medical examination before their application can be approved. Although temporary and only applicable to applications that are approved on or before September 30, 2021, this change will enable more streamlined processing of applications and will hopefully help in clearing out the processing backlog caused by COVID-19.