Individualized Requirements for Each Family Member

Immigration medical exam requirements are not one-size-fits-all. USCIS Technical Instructions specify different vaccination and examination requirements based on an applicant's age, vaccination history, and medical history. This means that even within the same family, each member may have different requirements.

Our civil surgeon evaluates each family member individually and determines what is needed to complete their Form I-693 based on their specific circumstances.

Requirements for Children

Children have age-specific vaccination requirements under USCIS guidelines. The required vaccines vary depending on the child's age — infants, toddlers, school-age children, and adolescents each have different vaccination schedules. Children under a certain age may not yet be eligible for certain vaccines, and our civil surgeon will document this appropriately on their Form I-693.

• Vaccine requirements vary by age group
• Some vaccines are not required until a child reaches a certain age
• Childhood vaccination records are especially important to bring
• A parent or legal guardian must be present for all minor children

Requirements for Adults

Adult applicants are subject to the full range of USCIS vaccination requirements, including vaccines that may not have been routinely administered in their country of origin. Adults who have incomplete vaccination records may need to receive missing vaccines or undergo titer testing to demonstrate immunity.

Requirements for Seniors

Senior applicants have some age-specific requirements as well. Certain vaccines, such as the pneumococcal vaccine, are specifically required for older adults. Our civil surgeon will review each senior applicant's vaccination history and medical history to determine their specific requirements.

Each Family Member Receives a Separate Form I-693

Regardless of how many family members are examined during a family appointment, each person receives their own completed sealed Form I-693. These forms are submitted separately to USCIS as part of each individual's adjustment of status application.