Green card and covid

The journey to U.S. permanent residency involves several key steps, including health-related requirements. A crucial aspect is the COVID-19 vaccination mandate, tied to the medical examination process. Understanding these requirements is vital for green card applicants within the United States.

COVID-19 Vaccination Requirement for Green Card Applicants

  • Mandate Overview: For those filing for a green card via the adjustment of status process on USCIS Form I-485, it is mandatory to submit USCIS Form I-693, Report of Medical Examination and Vaccination Record.
  • Effective Date: This vaccination requirement is applicable for USCIS Form I-693 completed on or after October 1, 2021. Forms completed before this date that remain valid are exempt from this requirement.

Verification Process for COVID-19 Vaccination

  • Civil Surgeon’s Role: The civil surgeon conducting the medical examination must verify your COVID-19 vaccination status. This involves examining your vaccination record, medical chart entries by a physician, or a review by appropriate medical personnel.
  • Self-reporting: Personal reporting of COVID-19 vaccination status is not permitted. Form I-693 must be completed by a designated civil surgeon who will record vaccine doses and formulations.

Exceptions to the COVID-19 Vaccination Mandate

  • Certain applicants are exempt from this requirement:
    • Age Consideration: Applicants who are below the age-appropriate threshold for the vaccine.
    • Medical Contraindications: Individuals with medical conditions that contraindicate the COVID-19 vaccine.
    • Vaccine Availability: Applicants residing in regions where COVID-19 vaccines are not routinely available.


For aspiring U.S. permanent residents, adhering to health-related mandates, including the COVID-19 vaccination requirement, is an integral part of the application process. It is important to ensure compliance with these medical requirements to facilitate a smooth transition to permanent residency.

How do I find a doctor to perform my immigration medical exam and what should I expect?

How do I prepare for my immigrant visa medical exam?

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