Short answer
A government photo ID, your vaccination records, medical history and medication list, records of any prior TB treatment, and payment.
Required Vaccines
Required vaccines follow CDC technical instructions and depend on your age. They commonly include MMR, polio, Tdap/Td, varicella, hepatitis B, pneumococcal, and influenza during flu season, among others. COVID-19 vaccination is no longer required. Bring your vaccination records to avoid unnecessary shots.
USA USCIS Medical Exam: Quick Facts
- Form
- I-693, Report of Immigration Medical Examination
- Who performs it
- USCIS-designated civil surgeon
- File with
- Form I-485 (required since Dec 2, 2024)
- Typical cost
- Often $200–$500+ (not usually covered by insurance)
- TB test
- IGRA blood test for ages 2+
- COVID-19 vaccine
- No longer required
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Disclaimer: This guide is for general information and is not medical advice. Coverage, prices and requirements change and vary by provider and location. Confirm details with your provider, insurer or the agency listed in the sources. Read our editorial policy.