Vaccines Required for the Immigration Medical Exam (Form I-693)

As of early 2025, the COVID-19 vaccine is no longer required for the immigration medical exam. USCIS waived the documentation requirement, and on March 11, 2025 the CDC removed COVID-19 from its list of required immigration vaccinations. Your civil surgeon no longer records COVID-19 status on the I-693 — if someone tells you that you still need it for immigration, they're working from outdated information.

The CDC's immigration schedule covers a set of vaccine-preventable diseases. For adult applicants, the ones that most often come up are MMR (measles, mumps, rubella), Td or Tdap (tetanus, diphtheria, and pertussis), varicella, hepatitis B, seasonal influenza when it's in season, and pneumococcal or meningococcal vaccination depending on your age and health.

You don't necessarily need all of these. The civil surgeon decides which vaccines apply to you based on your age, your existing records, and proof of prior immunity — if your bloodwork or history already shows immunity to something, you don't repeat it. The requirement is about being current on what applies to you, not collecting every vaccine on the list.

Your $190 all-inclusive exam includes vaccine-record verification: we read your records against the CDC schedule and tell you exactly what, if anything, you still need. What we do not do is administer the vaccines on site.

Instead, we point you to where you can get any needed vaccines free, usually through the county health department. You bring that record back — or have it sent — and we complete your Form I-693. No marked-up vaccine fees, no upselling. Bring every vaccine record you have to your appointment, including old cards from your home country, as long as they're legible and show dates; the more documentation you bring, the fewer repeat doses you'll need.

You have two paths. First, we can often confirm immunity with a simple blood test — a titer — for diseases like measles, mumps, rubella, and varicella; if the test shows you're already protected, you skip that vaccine entirely. Second, for anything that isn't covered, you catch up on the missing doses at a free source and bring the record back. Between those two options, most people avoid repeating a full childhood vaccination series.