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Vaccines needed for Form I-693

Bring the records you have. Our team helps identify what is documented and what needs review before the civil surgeon completes your form.

Your immigration concierge helps organize records, explains the next appointment, and coordinates follow-up with the care team. The civil surgeon reviews the medical requirements and completes Form I-693 when the required steps are finished.

Core package starts at $350 self-pay. The civil surgeon exam and core immigration labs are included; vaccines, titers, imaging, and other case-specific services may cost extra.

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A clear plan for your I-693 vaccine records You bring the records you have. We help identify what is missing, explain the medical steps, and coordinate your next appointment.

Start with the records you already have

Know the purpose of your visit before you arrive. Your concierge and clinical team help you understand the records, medical requirements, and appointments needed for your I-693.

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.

  • Bring dated records from doctors, pharmacies, schools, health departments, or prior overseas care.
  • Include reliable certified English translations of non-English records.
  • Tell the clinician about prior vaccine reactions, pregnancy, or medical conditions that may affect vaccination.
  • The civil surgeon applies CDC requirements to your age, history, and documentation.

Complete only the steps your case requires

  • Accepted immunity evidence can help document certain vaccines; a titer is not a universal substitute.
  • Outside vaccines may be used when the civil surgeon accepts the documentation.
  • You may not need every dose in a series before form completion; the civil surgeon documents the applicable requirements.
  • USCIS waived the COVID-19 vaccination documentation requirement for adjustment-of-status applicants on January 22, 2025. Other applicable vaccine requirements remain.

Clear costs and a realistic completion plan

The core immigration medical exam package starts at $350 self-pay and includes the civil surgeon exam and core immigration lab work. Vaccines, titers, chest X-rays, confirmatory tests, and selected expedited review cost extra when needed or requested. We explain those items before they are added.

Your final appointment depends on complete records, required test results, vaccine documentation, any follow-up, and civil surgeon availability. Tell the team your deadline when you book so they can explain the steps and available appointments for your case.

Nao Medical handles the medical exam and Form I-693 documentation. USCIS decides immigration eligibility and application outcomes. Your attorney can advise on filing timing and notices.

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 medical exam, $350 starting price, and final visit options.

Green card I-693 medical exam

Prepare for the medical examination required for your green card application, including records, vaccines, cost, and the sealed packet.

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.
Your immigration concierge helps organize records, explains the next appointment, and coordinates follow-up with the care team. The civil surgeon reviews the medical requirements and completes Form I-693 when the required steps are finished.
Your final appointment depends on complete records, required test results, vaccine documentation, any follow-up, and civil surgeon availability. Tell the team your deadline when you book so they can explain the steps and available appointments for your case.
The civil surgeon gives you the signed Form I-693 in a sealed envelope. For a mailed Form I-485 application, submit the original sealed envelope. If you are eligible to file Form I-485 online, USCIS instructs you to open the envelope and upload the completed Form I-693. Keep the original form and envelope until USCIS makes a final decision. Check the current USCIS instructions for your filing method before opening or submitting it.
Keep the full USCIS notice and contact the immigration medical team so they can review the medical-document request and explain the next step. Your attorney can advise on the response deadline and filing requirements. A request may involve additional documentation, a correction, or a new examination depending on the notice and current rules.

Envelope instructions checked September 10, 2026. Read current USCIS Form I-693 instructions and Form I-485 filing instructions before submission. USCIS has separate instructions for certain returned or rejected filings.