A Las Vegas checklist for Form I-693, vaccination records, ID, and payment, plus the details that quietly cause delays.
Updated on: 2026-09-01
The most common reason people repeat any part of an immigration medical exam is not a health problem. It is a paperwork gap. Someone shows up without their old vaccination card, or brings a form they already signed at home, or assumes their insurance covers the visit and finds out at the desk that it does not. None of that is catastrophic, but each one costs time, and time is the thing immigration applicants have the least of.
Here is what to bring for an immigration medical exam in Las Vegas, and why each item matters.
The short answer: what to bring
For a domestic immigration medical exam performed by a USCIS-designated civil surgeon, bring:
- Form I-693 (latest USCIS edition), with only your personal information filled in
- Government-issued photo ID (passport, driver's license, or state ID)
- All vaccination and immunization records you can find, including foreign ones
- English translations of any record written in another language
- Relevant medical records, especially anything involving tuberculosis, syphilis, gonorrhea, chronic illness, mental-health or substance-use treatment
- Health insurance card, if you have one
- Payment for the exam, plus any vaccines or lab work
- Interpreter or language help, if you cannot communicate well in English
USCIS's own civil surgeon guidance lists Form I-693, photo identification, vaccination records, insurance information, and payment as items to bring. Everything below is the practical version of that list.
Form I-693: bring it, but do not sign it
This is the one people get wrong most.
Form I-693, the Report of Immigration Medical Examination and Vaccination Record, is both a form you bring and the sealed document your case depends on. Download the current edition from the USCIS I-693 page. Fill in Part 1, Information About You before your appointment. Leave the rest alone.
Do not sign it in advance. USCIS requires you to sign in front of the civil surgeon, and only when instructed. The Form I-693 instructions are specific about this. A form signed at your kitchen table can force you to redo it.
Each applicant needs a separate Form I-693. Two spouses adjusting status together bring two forms. A family of four brings four.
After the exam, the civil surgeon completes the medical portions, seals the form and supporting documents in an envelope, and hands it to you. Do not open it. USCIS will not accept an envelope that has been opened or altered. Ask for a copy of the results for your own records, then submit the sealed original to USCIS untouched.
Photo ID, and something extra for children
Bring a valid government-issued photo ID so the civil surgeon can confirm the person being examined is the applicant named on the form. A passport, driver's license, or state ID card all work.
Children 14 and younger are the exception. A young child usually does not have a photo ID, so bring a birth certificate with an English translation, or another document showing the child's name, date and place of birth, and both parents' full names. USCIS recognizes an affidavit in appropriate cases. If you are bringing a child for the required exam for minors, sort this out before you arrive.
Vaccination records: bring everything, even partial
This is where an hour of digging at home saves you a second trip and extra cost.
Bring every written vaccination record you have. Foreign records count. School records, health department records, records from a doctor in another country, prior U.S. immunization cards, all of it. Partida Corona Medical Center specifically tells Las Vegas applicants to bring their original vaccination records to the appointment.
Written proof matters because self-reported history is not accepted. Telling the civil surgeon "I had all my childhood shots" does nothing. The CDC vaccination guidance for civil surgeons requires records that identify each vaccine and show the month, day, and year of every dose. Foreign records are fine if they appear authentic and contain those complete dates.
If your records are incomplete, the civil surgeon may recommend catch-up vaccines, acceptable lab testing to show immunity, or a documented waiver. If you already have blood-test results proving immunity to diseases like measles, mumps, rubella, hepatitis, polio, or varicella, bring those too. They can sometimes stand in for a missing vaccine record, though the civil surgeon decides whether the lab evidence is acceptable.
Bring partial records rather than leaving them at home. Something is almost always better than nothing here.
A note on COVID-19 documentation
The rules changed. As of January 22, 2025, USCIS waived the requirement that adjustment-of-status applicants document COVID-19 vaccination, and stated it will not deny an application solely because that documentation is missing. You do not need to hunt down a COVID-19 record to attend your exam.
Bring whatever record you have, and let the clinic handle the annotation on Form I-693. If you declined the vaccine or have no documentation, the civil surgeon notes that on the form. Confirm the clinic's current handling when you book.
Medical records: strongly recommended, not always mandatory
USCIS's baseline checklist does not require every applicant to bring a full medical chart. That does not mean you should show up empty-handed.
Bring records for anything significant: prior hospitalizations, surgeries, chronic conditions, ongoing treatment. Partida Corona also recommends bringing current medications, ideally in their original bottles, so the provider can see exactly what you take.
Two categories are worth special effort:
- Tuberculosis history. If you have ever had a positive TB test, a chest X-ray, or TB treatment, bring those records. Immigration exams can include TB testing depending on age and CDC requirements, and prior results save you from repeat work.
- Syphilis or STD history. Prior positive results, treatment records, or a doctor's letter documenting resolution can prevent confusion during lab review.
The honest framing is this: bring all relevant medical records you have. They may not be required for every applicant, but they can prevent repeat testing, document prior treatment, and cut down delays.
English translations for anything in another language
If a record is written in a language other than English, bring a complete English translation along with the original. You are responsible for providing reliable translations. Do not assume the clinic will translate a foreign vaccination card or birth certificate on the spot.
For documents that eventually go to USCIS, a full English translation with translator certification is required. Handle the translation before your appointment, not during it.
Insurance card, and a warning about coverage
Bring your health insurance card if you have one. USCIS lists it as an item to bring.
Set your expectations, though. Immigration medical exams are often treated differently from ordinary covered care, and USCIS warns that many plans do not cover all portions of the exam. Ask both your insurer and the clinic what, if anything, is covered before you assume the visit will be billed to insurance.
Payment: confirm the total before you go
Bring the clinic's accepted form of payment for the exam plus any vaccines or lab work. USCIS notes that fees vary by civil surgeon, so confirm the total and accepted methods in advance.
Partida Corona Medical Center publishes flat, all-inclusive exam pricing, which is part of why applicants recommend it for cost. As currently published:
| Item | Published price |
|---|---|
| Immigration exam, adult | $260 (one-time) |
| Immigration exam, child under 14 | $170 (one-time) |
| Vaccines (charged only if needed) | Varies by vaccine, for example Tdap $60, MMR $115, Varicella $200, Influenza $35, Pneumococcal $150, Hepatitis $65, Polio $50 |
The adult and child exam prices include initial TB and STD lab testing and all required immigration documentation, with no hidden fees. You only pay for vaccines you still need, and those can be completed after the exam before you pick up your documents. Prices and vaccine availability can change, so confirm current figures when you book.
Interpreter or language help, if you need it
If you cannot understand or communicate sufficiently in English, arrange for an interpreter. Form I-693 includes an interpreter certification section, and USCIS materials state that a friend or family member may serve as the interpreter as long as the required information and signature are provided.
For Spanish-speaking applicants, this is usually simpler at a bilingual clinic. Partida Corona Medical Center provides services in English and Spanish, which removes a common source of stress from the whole process.
Make sure you are at the right kind of exam
One distinction saves people real confusion. The Las Vegas exam described here is a domestic immigration medical examination performed by a USCIS-designated civil surgeon, most often for adjustment of status with Form I-485.
That is different from an overseas immigrant-visa medical exam, which is done by a Department of State-approved panel physician abroad and uses different documentation. If you are going through a consulate or embassy process outside the United States, follow the panel physician's instructions instead of this checklist.
For applicants attending a civil surgeon locally, Partida Corona Medical Center lists Dr. Jose Maria Partida Corona as a USCIS civil surgeon at 2950 E. Flamingo Road, Suite E, Las Vegas, NV 89121, with same-day and walk-in availability. Applicants repeatedly mention that the staff explains each step and answers fee questions by phone before the appointment, which is exactly the kind of clarity that keeps a paperwork-heavy visit from turning into two visits.
What I would do first
If you have one afternoon to prepare, spend it in this order.
First, download the current Form I-693 and complete only Part 1. Second, find every vaccination record you own and set them in one folder, foreign records included. Third, translate anything not already in English. Fourth, call the clinic to confirm the total cost, accepted payment, and whether they want an interpreter arranged. The exam itself is quick when you walk in with those four things done.
FAQ
Do I need to bring my Form I-693 already filled out?
Fill in your personal information section only, and do not sign it. The civil surgeon completes the medical portions during the exam, and you sign in their presence when instructed. A pre-signed form can be rejected.
Are foreign vaccination records accepted for a US immigration exam?
Yes, if they appear authentic and show the complete month, day, and year for each dose. The civil surgeon reviews them. What is not accepted is a spoken history with no written proof, which is why bringing even partial records matters.
Does health insurance cover the immigration medical exam?
Often not. USCIS itself warns that many plans do not cover all parts of the exam. Bring your card, but ask your insurer and the clinic directly rather than assuming coverage. Many applicants simply pay a flat clinic fee, which at Partida Corona is $260 for adults and $170 for children under 14.
Can I open the sealed envelope to check my results?
No. USCIS will not accept an envelope that has been opened or altered. Ask the clinic for a separate copy for your own records, and submit the sealed original untouched.
Do children need the same documents as adults?
Mostly, with one difference. Instead of a photo ID, a child 14 or younger should bring a birth certificate with an English translation, or another document showing their name, date and place of birth, and both parents' full names.