Immigration Medical Exam Questions
Practical answers before you schedule your USCIS medical examination.
What is USCIS Form I-693?
Form I-693 is the Report of Immigration Medical Examination and Vaccination Record. It documents the medical examination used by USCIS for applicable immigration applications. Download the current form and instructions from USCIS.
What is a USCIS-designated civil surgeon?
A civil surgeon is a physician designated by USCIS to perform immigration medical examinations in the United States. Confirm a physician through the official USCIS Find a Civil Surgeon tool. Designation is not the same as employment by USCIS.
Which vaccinations are required?
The civil surgeon applies CDC age-appropriate requirements and reviews your documented history. Requirements can vary by age, season and medical circumstances. USCIS no longer requires COVID-19 vaccination documentation for adjustment of status as of January 20, 2025.
What if I do not have vaccination records?
Tell the office before your appointment and bring any partial written records. The civil surgeon determines whether acceptable evidence of immunity or vaccination is needed. Do not assume that every applicant needs every vaccine.
How much does an immigration medical exam cost?
Call for current pricing. Ask what the examination includes and whether laboratory work, vaccines or follow-up have separate charges. No verified exam price or insurance coverage policy is published here.
How long does the examination take?
Timing depends on required tests, records and follow-up. Ask about both the visit length and expected paperwork completion. No fixed turnaround is guaranteed.
Should I open the sealed envelope?
For mailed Form I-485 applications, USCIS requires the original sealed envelope. Current USCIS instructions direct eligible online filers to open it and upload Form I-693, keeping the original form and envelope. Check the current instructions for your filing method before acting.
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