Every applicant for adjustment of status (Form I-485) must complete an immigration medical examination conducted by a USCIS-designated civil surgeon. The results are documented on Form I-693, Report of Immigration Medical Examination and Vaccination Record.
Key Facts
Cost: $200–$500 (varies by location). Validity: 2 years from the civil surgeon's signature. Must be completed by a USCIS-designated civil surgeon — regular doctors cannot perform the exam. Required vaccinations must be current.
What the Exam Includes
Physical examination, review of medical history, mental health evaluation, tuberculosis (TB) test (skin test or blood test, chest X-ray if positive), required vaccinations (including flu, COVID-19, measles, polio, and others per CDC schedule), and blood tests for syphilis and gonorrhea (for applicants 15 and older).
Required Vaccinations
The CDC determines which vaccinations are required for immigration purposes. The current list includes: Mumps, Measles, Rubella, Polio, Tetanus/Diphtheria, Pertussis, Hepatitis A, Hepatitis B, Rotavirus, Influenza, Varicella, Pneumococcal, and COVID-19. Bring your vaccination records to reduce the need for repeat shots.
Costs and Tips
The exam typically costs $200–$500 depending on location, needed vaccinations, and lab tests. Insurance usually does not cover immigration exams. Some civil surgeons charge separately for vaccinations. Compare prices — costs vary significantly between providers. The form is valid for 2 years from the date the civil surgeon signs it.