USCIS Issuing RFEs for Updated Medical Exams
Many medical examination endorsements may expire on May 31, 2014, and not be valid anymore as of June 1, 2014, unless U.S. Citizenship and Immigration Services (USCIS) issues a blanket extension as in the past. Reportedly, USCIS has begun issuing requests for evidence (RFEs) for some updated medical exams for adjustment of status applicants with I-485 applications that have been pending for a long time.
The endorsement from the civil surgeon performing the exam appears on the Form I-693 (submitted with the I-485 as supporting documentation). Ordinarily it is valid for one year, which has been extended, but it appears that USCIS may not be granting blanket extensions this year.