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Vaccines needed for Form I-693

The civil surgeon reviews age-based vaccine requirements, written documentation, immunity evidence, and any needed next steps before Form I-693 can be completed.

USCIS requires Form I-693 exams completed in the United States to be handled by a USCIS-designated civil surgeon. CDC technical instructions guide the required testing, vaccination review, and follow-up documentation.

Nao Medical's core immigration medical exam package starts at $350 self-pay. Vaccines, titers, chest X-rays, expedited review, or extra follow-up can add cost only when records, age, results, or case-specific requirements make them necessary.

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Bring records before the final signature Complete vaccine records, translations, prior TB or treatment paperwork, and USCIS notices help the civil surgeon decide what can be documented and what still needs follow-up.

What matters before the I-693 exam

The strongest appointment starts with the right records, the correct civil surgeon workflow, and a clear plan for required testing, vaccines, cost, and final packet handling.

Bring all records

Childhood, adult, pharmacy, school, military, and overseas vaccine records can help when they are readable, dated, and translated when needed.

Titers may help

Blood titers can sometimes support immunity documentation when clinically appropriate and accepted by the civil surgeon.

Missing records change the plan

Missing or unclear records may lead to vaccines, titers, or additional documentation before final I-693 completion.

The civil surgeon decides

The civil surgeon reviews records and documents vaccine status on Form I-693 according to USCIS and CDC instructions.

Outside vaccines

Applicants may complete vaccines elsewhere and bring acceptable documentation back for review.

Not every vaccine applies to every person

Age, history, availability, medical contraindications, and documentation all affect the final record.

Common vaccine documentation categories

  • MMR, varicella, Tdap/Td, influenza when seasonally required, hepatitis B, and other age-based vaccine categories when applicable.
  • Documented immunity or titer evidence when accepted under the civil surgeon instructions.
  • Medical contraindication or not-age-appropriate documentation when the instructions support it.
  • Outside vaccine documentation from pharmacies, doctors, schools, or health departments.

What changed recently

  • USCIS waived COVID-19 vaccination documentation for adjustment-of-status applicants effective January 22, 2025.
  • Other age-based vaccine requirements can still apply.
  • CDC instructions still require careful record review and Form I-693 vaccination documentation.
  • Applicants should bring all vaccine records even if they believe some vaccines no longer apply.

Cost, timing, and records planning

A first visit can often start quickly, but final I-693 completion depends on records, required labs, vaccine documentation, any follow-up results, and civil surgeon availability.

Bring a passport or government-issued photo ID, vaccine records with dates, certified English translations for non-English documents, USCIS notices or attorney instructions, and prior TB, chest X-ray, syphilis, gonorrhea, or treatment records if they apply.

Nao Medical does not decide immigration eligibility. The civil surgeon completes the medical exam and Form I-693 documentation; USCIS decides the application after reviewing the full filing.

Immigration exam locations across New York

Start records review, labs, and vaccine planning near home. Final civil surgeon visits are currently coordinated at StuyTown, Hicksville, and Mineola when the file is ready.

Hicksville immigration medical exam location

Long Island

Hicksville

232 W Old Country Rd, Hicksville, NY 11801

A Nassau County location where patients can start the process and, in many cases, complete the final civil surgeon visit. Final civil surgeon visits are coordinated here.

View immigration exam location Get directions

More I-693 resources

Related immigration exam options

Immigration exam overview

Review the full USCIS medical exam service, civil surgeon workflow, $350 starting price, and final visit options.

I-693 cost guide

Understand the $350 core package, optional expedited review, and case-specific add-ons.

What to bring

Prepare ID, vaccine records, translations, USCIS notices, and prior medical documentation before the visit.

Official USCIS and CDC references

These are the public government references behind the I-693 edition, civil surgeon, vaccine, COVID-19, and validity guidance used in the details copy.

USCIS Form I-693

Official details for current edition, filing, applicant submission, and sealed-envelope guidance.

Questions about immigration medical exams

The exact list depends on age, records, medical history, CDC instructions, and what the civil surgeon can document. Bring all vaccine records for review.
USCIS announced on January 22, 2025 that adjustment-of-status applicants no longer need to document COVID-19 vaccination on Form I-693.
Titers may help in some cases when immunity evidence is clinically appropriate and accepted by the civil surgeon.
Yes. Bring written records with dates. The civil surgeon decides whether outside documentation can be used.
The team can explain whether vaccines, titers, or other documentation may be needed based on your age and case.
Vaccines and titers are case-specific add-ons when they are needed.

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What patients say about Nao Medical

Verified Patient
(4.9)

The team explained which records mattered before the final civil surgeon visit.

Verified Patient
(4.9)

I knew the starting price, what could add cost, and what to bring before scheduling.

Verified Patient
(4.9)

They helped me organize vaccine records and translations so I did not waste a visit.

Verified Patient
(4.9)

The staff made the I-693 steps clearer than trying to piece everything together alone.

Verified Patient
(4.9)

I started close to home and knew where the final civil surgeon appointment would happen.

Verified Patient
(4.9)

The sealed packet instructions were clear, and the visit felt organized.