Can tuberculosis testing or vaccines be required on the I-693?

Yes. The medical exam required for the I-693 includes screening for tuberculosis and a review of the vaccines recommended by U.S. public health authorities. It is a standard step in the immigration process, carried out to protect public health.

The exam is conducted by a civil surgeon authorized by USCIS, who evaluates relevant health conditions, including infectious diseases, and reviews the applicant’s immunization history. If any vaccine is missing or the schedule needs updating, the civil surgeon can guide the applicant on receiving the appropriate doses before completing the form.

• Tuberculosis screening is part of the immigration medical exam.
• Vaccines follow the list established by U.S. public health authorities.
• Only a USCIS-authorized civil surgeon may complete and sign the I-693.

Because the vaccine list and procedures may change, it is advisable to confirm updated requirements on the USCIS website and coordinate with the authorized civil surgeon before the appointment.

About the author

Victoria Harper

Editor-in-Chief

Meet the author

As a journalist and lead editor at Visto n’ Visa, Victoria helps ensure that immigration topics are covered in a clear, trustworthy, and easy-to-understand way. Her focus is on delivering useful, human, and relevant content for people exploring new paths abroad.