If your family is applying for green cards together, every child needs their own Form I-693 — even babies. The exam is gentler than many parents expect, and what’s required depends mostly on the child’s age. Here is what to know.
Every child needs a separate I-693
Each family member, no matter how young, gets their own exam and their own sealed form. You can book the whole family at the same time so everyone is seen in one visit.
What the exam includes for children
- Medical history and physical exam, adjusted for the child’s age. A parent or guardian stays with the child throughout.
- TB blood test (IGRA) for children age 2 and older. Children under 2 generally don’t need a TB test unless the doctor has a specific concern.
- Syphilis and gonorrhea tests are only required starting at age 18, so most children don’t need them.
Vaccines by age
Children must be up to date on the vaccines the CDC recommends for their age, which can include measles-mumps-rubella, polio, DTaP/Tdap, hepatitis A and B, varicella, Hib, pneumococcal, meningococcal, rotavirus and seasonal flu (during flu season). See our full list of vaccines by age.
Children often already have most of these from school or their pediatrician. Bring every record you have — home-country cards, school records, pediatrician printouts — so we only give what’s truly missing.
Tips for a smooth visit
- Bring each child’s passport or ID and their vaccine records.
- Bring a snack, water and a favorite toy or tablet for younger kids.
- Tell the child ahead of time there may be a blood test or a shot — honesty usually makes it easier.
- For the TB blood test, a well-hydrated child is easier to draw blood from.
What about cost?
Each person’s exam is the same $375 flat price, including the physical exam and required labs. Vaccines and titers are extra; call us for current prices so you can plan for the whole family.
Our team speaks English, Spanish, Hindi, Urdu, Polish, Ukrainian, Russian, Malayalam and Gujarati, so parents and kids can ask questions in the language they’re most comfortable with. Book your family’s exams online or call or text (224) 899-5959.
General information, not medical or legal advice. Your civil surgeon decides what applies to you; for case questions, ask your attorney or see uscis.gov/i-693.
