Bring the records you already have
Even partial records can help reduce repeat tests or vaccines if they are readable and properly dated.
I-693 checklist
What to bring to an I-693 immigration medical exam the first time
Use this checklist to reduce delays around records, vaccines, translations, and sealed-packet logistics before you start the I-693 process.
- Passport or government-issued photo ID
- Attorney or USCIS paperwork you already have
- Vaccine records and certified translations
- Prior TB, treatment, or follow-up records when relevant
Bring the records you already have
Even partial records can help reduce repeat tests or vaccines if they are readable and properly dated.
Translations matter
Clear English translations are one of the easiest ways to prevent unnecessary repeat vaccine work.
The goal is fewer delays
A stronger checklist means a faster path from intake to the final civil surgeon visit.
Bring these items to the process
- Passport or government-issued photo ID.
- Any USCIS notices, attorney instructions, or case paperwork you already have.
- Vaccine records with clear month, day, and year whenever possible.
- Certified English translations for any non-English records.
- Medication list and relevant recent medical history if it affects the exam.
If this applies to you, bring it too
- Prior TB testing, chest X-ray results, or TB treatment documentation.
- Prior syphilis treatment records if relevant to your case.
- Any records showing vaccines were completed at a pharmacy or other outside provider.
- Anything your attorney specifically wants included in the timing or submission plan.
What happens if records are incomplete
- Nao can still review partial records and guide the next step.
- Missing records may lead to extra vaccines, titers, or follow-up requirements depending on your age and case.
- Poor translations are one of the easiest avoidable causes of repeated vaccine work.
What happens after the visit sequence is complete
- The civil surgeon finalizes the I-693 packet when all required steps are complete.
- Applicants receive guidance on what to keep for their own records.
- The sealed packet should not be opened before submission when USCIS requires it sealed.
Official I-693 instructions
The USCIS instruction document applicants and attorneys still use to understand the form and requirements.
CDC vaccine instructions for civil surgeons
The official source behind age-based vaccine and documentation logic.
Related guides
Open the page you need next for pricing, locations, or paperwork.
Frequently asked questions
Common questions based on the information on this page.
Do I need to bring a passport or photo ID?
Yes. Bring a passport or another government-issued photo ID so your records match the immigration paperwork correctly.
Should I bring attorney paperwork or USCIS notices if I already have them?
Yes. If an attorney has given you instructions, notices, or timing guidance, bring that paperwork into the process.
What if my vaccine records are not in English?
Bring a certified English translation so the records can be reviewed and used correctly.
What if I do not have complete vaccine records?
Bring what you have anyway. Partial records can still reduce repeated work, and the next step can be clarified after review.
Should I bring prior TB, chest X-ray, or treatment records?
Yes. Prior TB testing, chest X-rays, or treatment records can be important if screening or follow-up becomes part of your case.
Can I bring pharmacy or outside clinic vaccine records?
Yes. Bring records from pharmacies or outside clinics if vaccines were already completed there.
Can I open the sealed immigration packet after it is completed?
No. If USCIS requires the packet sealed, do not open it before submission.