Do I need to bring Form I-693 with me?

It depends on the clinic, so ask when you book. Many clinics provide the current edition of the form. If you bring your own, download the current edition from uscis.gov, fill in your personal information if you like, and do not sign it. You sign the form in front of the civil surgeon at the appointment, and a form signed in advance may have to be redone.

My vaccination records are in another language. Do I need a translation?

Bring the originals, and bring an English translation too. Foreign-language vaccination records are acceptable for the immigration medical exam, but CDC's instructions make the applicant responsible for providing a reliable English translation. Some clinics can help with this; ask when you book. Bring every record you have, including partial ones, because each documented dose is a dose you may not need to repeat.

Can I bring someone to interpret for me?

Usually, yes. If you aren't comfortable with the medical questions in English, bring an adult who speaks both languages, or ask the clinic when you book whether it can provide language support. Accurate answers matter on this form, so it's better to have help than to guess at a question you didn't fully understand. Some applicants prefer not to share their medical history with a relative, and a professional interpreter may be a better choice for them.

What to Bring to Your Immigration Medical Exam (Checklist)

Bring a photo ID, every vaccination record you can find, your TB history, a medication list and payment. That covers most people. The details below help you avoid the two things that most often cost applicants a second trip: missing vaccine records and a form signed at the wrong time.

The checklist

Identification

Unexpired government-issued photo ID. A passport is best; a driver’s license or state ID generally works. Ask the clinic if you’re unsure.
Your USCIS receipt notice or A-Number, if you have one.

Vaccination records

Every vaccination record you have, in any language: childhood cards, home-country health booklets, school records, prior visa medical records, state registry printouts, pharmacy receipts.
An English translation of any record that isn’t in English.
Recent titer (immunity blood test) results, if you’ve had any.

Partial records are still worth bringing. Each documented dose may be a vaccine you don’t have to repeat. Our vaccination guide explains what’s required at each age and what happens when records are missing.

TB history

Prior TB blood or skin test results.
Prior chest x-rays and their reports.
Records of any TB diagnosis or treatment, including medicine names and dates.

If you have tested positive before, these records matter. See what happens after a positive TB test.

Medications and health records

A list of every medication you take, with dose and prescribing doctor. Photos of pharmacy labels are fine.
Recent records or a doctor’s letter for any ongoing condition, such as diabetes, high blood pressure, asthma, or a mental health condition you’re being treated for.
Discharge summaries or treatment records for significant past illnesses, if relevant.

The form

Form I-693, unsigned, if the clinic asks you to bring it. Use the current edition from uscis.gov.

Payment

A payment method the clinic accepts. Health insurance generally doesn’t cover the immigration medical exam. Vaccines, titers and chest x-rays are usually priced separately from the exam fee, so ask for the total before your visit. Each clinic in our network publishes its price and what it includes on its clinic page, and our cost guide explains the common extras.

For children

A parent or legal guardian should come with a minor (ask the clinic about its policy).
The child’s passport, birth certificate or other identification.
All of the child’s vaccination records. Children are more likely to need specific vaccines, so complete records save the most time here.
Any pediatric health records or medication list.

Requirements vary by age. TB blood testing starts at age 2, and the syphilis and gonorrhea tests apply only within adult age ranges, so a young child’s green card medical exam is often shorter than a parent’s.

What not to do

Don’t sign Form I-693 before the appointment. You sign it in front of the civil surgeon. A form signed early may have to be done over.

Don’t open the sealed envelope. The civil surgeon gives you the completed form in a sealed envelope. USCIS will not accept it if the seal is broken or the envelope has been tampered with. Since December 2, 2024, most people filing Form I-485 must include that sealed envelope with the I-485 at filing, so keep it intact until it goes into your package. Ask the clinic for a copy for your own records; that copy is separate from the sealed original.

Time it to your filing. A form signed on or after November 1, 2023 has no calendar expiration, but it is valid only for the application it’s filed with. If that application is denied or withdrawn, a new exam is required. Our guide to I-693 validity explains the rules.

Families booking together

If several family members are applying at once, tell the clinic when you book and give everyone’s age. Many clinics can see a family in one visit, which saves time and a second trip. Bring a separate folder of records for each person; mixed-up records are an easy way to lose time at the front desk.

Interpreters

The civil surgeon will ask about your medical history, and accurate answers matter. If you’re not comfortable with medical questions in English, bring an adult interpreter or ask the clinic about language support when you book. Understanding each question is more important than moving quickly.

Ready to book

For an overview of the whole visit, see our immigration medical exam guide. When you have your documents together, find a clinic near you.