Process · 5 min read · Updated April 4, 2026
The more complete your records are before the appointment, the easier it is for the office to decide what still needs to be done.
It is usually better to bring too much paperwork than too little. Let the civil surgeon decide what can be used.
USCIS says applicants should bring government-issued identification, vaccine records, payment information, and Form I-693 if the office asks for it.
Outside vaccine records can help if they are clear, dated, and acceptable to the civil surgeon.
Outside syphilis or gonorrhea test results usually do not replace the immigration exam testing because CDC says those tests must be ordered by the civil surgeon at the time of the exam.
Bring them anyway. Foreign-language vaccine records can still help, but the office may need translation support before relying on them.
A printed copy usually makes the review easier, but many offices can also work from a screenshot or PDF as long as the vaccine names and dates are clear.
Bring it if you have it, but do not assume insurance will cover the full immigration medical exam.
Yes, especially if you have a prior positive IGRA or a history of tuberculosis treatment. Those records can affect how the office reviews your case.
Process · 6 min read
Learn what Form I-693 is, who usually needs it, and why filing timing matters more than it used to.
Records · 5 min read
Old vaccine records can help, but they need to be readable, dated, and believable enough for the civil surgeon to use.
Records · 4 min read
Records in another language can still help, but the office may need translation support before relying on them.