USCIS I-693 Vaccine Requirements 2025: Complete Immigration Medical Exam Guide
Navigating the immigration process can be complex, especially when it comes to understanding the USCIS I-693 vaccine requirements. This guide provides a comprehensive overview of the latest updates for 2025, ensuring that applicants are well-informed about the necessary vaccinations and medical exams required for their green card applications. The I-693 form is crucial for demonstrating that applicants meet the health standards set by the USCIS, which includes specific vaccine requirements. Many individuals face confusion regarding which vaccines are mandatory and how to prepare for their immigration medical exams. This article will clarify these requirements, outline the necessary steps for preparation, and discuss potential waivers and exemptions. Key sections include updates to vaccine requirements, a list of required vaccines, preparation tips for the medical exam, and an overview of associated costs.
What Are the Key 2025 Updates to USCIS I-693 Vaccine Requirements?
The USCIS has made updates to the I-693 vaccine requirements for 2025, reflecting the evolving landscape of public health and vaccination protocols. Understanding these changes is essential for all green card applicants to ensure compliance and avoid delays in their immigration process.
Is the COVID-19 Vaccine Still Required for Green Card Applicants in 2025?
As of 2025, the COVID-19 vaccine is no longer a requirement for green card applicants. This change reflects the current public health guidelines and the decreasing urgency surrounding the pandemic. Applicants should stay informed about any future updates, as vaccination requirements can change based on public health assessments.
What Are the Updated Polio Vaccine Requirements Effective May 2024?
Effective May 2024, the USCIS updated the polio vaccine requirements to align with the Advisory Committee on Immunization Practices (ACIP) recommendations. Applicants must provide documentation of polio vaccination for children and adults, ensuring that all individuals meet the necessary health standards. This update emphasizes the importance of maintaining vaccination records and being aware of the specific age-related requirements.
Which Vaccines Are Required for the USCIS I-693 Medical Exam in 2025?
The USCIS mandates several vaccines for the I-693 medical exam, which vary based on age and health status. Understanding these requirements is crucial for applicants to ensure they have the necessary vaccinations before their medical examination.
What Vaccines Are Required for Infants and Young Children?

Infants and young children are required to receive a series of vaccinations to protect against various diseases. The following vaccines are typically required:
| Vaccine | Age Group | Number of Doses |
|---|---|---|
| DTaP | 2, 4, 6 months, 15-18 months, 4-6 years | 5 |
| IPV | 2, 4, 6-18 months, 4-6 years | 4 |
| MMR | 12-15 months, 4-6 years | 2 |
| Hib | 2, 4, 6 months, 12-15 months | 3 or 4 (depending on vaccine brand) |
| PCV13 | 2, 4, 6 months, 12-15 months | 4 |
These vaccines are essential for preventing serious illnesses and ensuring the health of young applicants.
What Are the Vaccine Requirements for Adults and Seniors?

Adults and seniors also have specific vaccine requirements that must be met for the I-693 medical exam. The following vaccines are generally required:
| Vaccine | Age Group | Number of Doses |
|---|---|---|
| Tdap | 11 years and older (one dose, then Td booster every 10 years) | 1+ |
| Influenza | Annually (seasonal flu vaccine) | 1 per flu season |
| MMR | 1 or 2 doses if not previously vaccinated or immune | 1 or 2 |
| Varicella | 2 doses if not previously vaccinated or immune | 2 |
| COVID-19 | Not required as of 2025 | N/A |
These vaccinations help protect against common diseases and are crucial for maintaining public health standards.
How Do You Prepare for Your USCIS I-693 Immigration Medical Exam?
Preparing for the USCIS I-693 immigration medical exam involves several important steps to ensure a smooth process. Applicants should be aware of the necessary documents and what to expect during the examination.
What Documents and Records Should You Bring to the Exam?
When attending the immigration medical exam, applicants should bring the following documents:
- Vaccination Records: Proof of all required vaccinations.
- Government-issued ID: Such as a passport or driver’s license.
- Form I-693: The form itself, which will be completed by the civil surgeon.
- Medical History: Any relevant medical records or history of previous illnesses.
Having these documents ready will facilitate the examination process and help avoid delays.
How to Find a USCIS-Designated Civil Surgeon Near Hallandale Beach, FL?
Finding a USCIS-designated civil surgeon is crucial for completing the I-693 medical exam. Applicants can locate a civil surgeon by:
- Visiting the USCIS website to access the list of designated civil surgeons.
- Contacting local clinics or hospitals that offer immigration medical exams.
- Asking for recommendations from immigration attorneys or community organizations.
This proactive approach ensures that applicants can schedule their exams promptly and meet the necessary requirements.
What Are the USCIS I-693 Vaccine Waivers and Exemptions in 2025?
In certain circumstances, applicants may qualify for waivers or exemptions from the vaccine requirements outlined in the I-693 form. Understanding these options is essential for those who may have medical or personal reasons for not receiving specific vaccinations.
How Do Medical Contraindications Affect Vaccine Requirements?
Medical contraindications can exempt individuals from receiving certain vaccines. Applicants must provide documentation from a licensed healthcare provider that outlines the medical reasons for the exemption. Common contraindications include severe allergies to vaccine components or specific health conditions that prevent vaccination.
What Is the Process for Religious or Moral Objections to Vaccines?
Applicants who have religious or moral objections to vaccines can apply for a waiver by submitting a written statement detailing their beliefs. This process requires careful documentation and may involve additional scrutiny from USCIS. It is essential for applicants to understand the implications of seeking such waivers and to prepare accordingly.
What Is the Cost of the USCIS Immigration Medical Exam in 2025?
The cost of the USCIS immigration medical exam can vary based on several factors, including the civil surgeon’s fees and any additional tests or vaccinations required.
How Much Does the I-693 Medical Exam Typically Cost?
Typically, the cost of the I-693 medical exam ranges from $200 to $500, depending on the civil surgeon and the services provided. This fee often includes the examination, completion of the I-693 form, and any necessary vaccinations.
Are Additional Vaccine or Lab Test Fees Included?
Additional fees may apply for specific vaccines or lab tests that are not included in the base examination fee. Applicants should inquire about these potential costs when scheduling their appointments to avoid unexpected expenses.
Reviewed by: Yukhanan Benjamin MD, Civil Surgeon
Review Date: 12/27/25
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