USCIS Medical Exams

What to Bring?

• Form I-693, Report of Medical Examination and Vaccination Record, pages 1 and 2

• Government-issued photo identification such as a valid passport or driver’s license.

• Insurance card, only if you have one

• Vaccination or Immunization Records

• Any past medical documents

What to Expect?

• During the first appointment, we will gather information about your identity, vaccinations, and medical history.

• We will also perform a general physical exam.

• We will then order any necessary tests - you will go to a primary care and have your blood drawn.

• If you are missing the required vaccines, we will let you know which ones you need, and you can get them at a nearby pharmacy.

• When we receive the lab results, we will review them and contact you if there are any concerns.

• ​If you test positive for any of the screening tests, you may need additional visits for treatment and follow-up. ​

• If you have a chronic medical condition (such as hypertension or diabetes), you will need to get a supporting letter from your primary care doctor or specialist, and they may need to sign part of the I-693 (page 11). This can add extra time depending on how fast you can request this documentation from your doctor.

• Once all of your labs results have been received (if normal), and you have received your required vaccinations, you will be scheduled to return to the office and pick up your sealed envelope containing the completed I-693 form.

• You will also receive a copy of the I-693 for your records.

Which Vaccines are Required?

Please refer to the CDC or USCIS websites for any updated vaccine requirements

https://www.cdc.gov/immigrant-refugee-health/media/pdfs/Vaccine-Requirements-According-to-Applicant-Age-civil-surgeons-p.pdf

• Measles, Mumps, and Rubella (MMR): Two doses are usually required for individuals aged 1-64 years.

• Hepatitis B: Required for applicants under 19 years old. 2-3 doses.

• Polio:

• Tetanus, Diphtheria, Pertussis (Tdap): Usually required for applicants aged 10 and older.

• Varicella (Chickenpox): Generally required unless the person has had chickenpox or has immunity.

• Covid-19: the current season of 2024

• Flu Vaccine: a seasonal vaccine between October to March

• For adults 65 and older, or adults with chronic health conditions, additional vaccines may be required, including a pneumonia vaccine (PCV20).

• For children/teens, the list is much longer and may include vaccines depending on age: 

  • DTaP, Polio, Hib, PCV, Rotavirus, Hepatitis A, and Meningococcus.

What if my records are not in English?

​No worries! We will work with translation equipment to help you go through the exam.

Where can I get the vaccines I need?

If you have health insurance, you can get the vaccines at any pharmacy, and the pharmacy can bill your insurance for them.

If you do NOT have medical insurance, you will need to pay out of pocket for any vaccines you need. You can look at Costco pharmacy if you have Costco membership, or Goodrx for coupons. If you are a student, school-based health centers can give immunizations

How long does this take?

This exam requires two appointments. Since we only hold medical clinics once a month, this requires a one-month turnaround (one for the initial visit and one to finish the paperwork needed). Please plan accordingly, as we can be booked out months at a time.

If you complete all of your vaccinations on time, AND all of your lab results are normal, then the process typically takes one month. If you have any abnormal test results or a chronic medical condition, or if you are missing vaccines, the process may take longer.

Please contact us if you have any other questions. We look forward to helping you!