Guide

USCIS Vaccination Requirements: General Information

Educational framework only. Not medical or legal advice.

USCIS Vaccination Requirements: General Information

Important Note

This page is for general information only. Vaccination rules can change. Only USCIS and a civil surgeon decide what applies to your case.

Why Vaccinations Are Reviewed

USCIS reviews vaccination information as part of the medical exam. This helps meet public health rules set by the U.S. government.

How Vaccination Information Is Collected

Civil surgeons review:

Not all vaccines apply to every person. Age and medical history matter.

Missing Records

If you do not have vaccination records, the civil surgeon explains what steps may be available under USCIS instructions. Options vary.

Medical Exceptions

Some people may qualify for medical exceptions. Only the civil surgeon can review and document this information following USCIS rules.

Common Misunderstandings

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Bottom Line

Vaccination information is part of the USCIS medical exam. Requirements vary, and USCIS decides how information is used.

What this guide covers

USCIS rules can change and local clinic processes vary. This guide is meant to help you prepare, reduce delays, and avoid common paperwork mistakes.

Always confirm requirements with official USCIS instructions and your civil surgeon’s office.

Timelines and planning

Ask your clinic how long it typically takes to schedule, complete lab work, and finalize the sealed I‑693 packet (if they provide it).

If you have upcoming filing deadlines, schedule early—vaccinations, missing records, or lab results can add time.

Questions to ask the civil surgeon’s office

What documents do you need from me before the appointment?

Do you offer required vaccines on site, and what are the costs?

How do you handle missing immunization records or prior TB testing?

How and when do I receive the completed I‑693 (sealed), and what are your reissue policies if it’s lost or damaged?

Common mistakes that cause delays

Arriving without ID, missing vaccination records, or incomplete forms.

Not clarifying payment structure up front (exam fee vs labs vs vaccines).

Opening the sealed envelope if you receive one—always follow the clinic’s instructions.