Quick takeaway
- The vaccination record is part of the immigration medical examination process.
- Requirements depend on current USCIS/CDC guidance and the applicant’s circumstances.
- The civil surgeon documents the vaccination assessment on Form I-693.
For a Windows workflow related to this topic, see I-693 Medical Exam Software. You can also return to the MedClaimSoftware home page for the complete software lineup and free trials.
The vaccination portion of Form I-693 is one of the areas that requires careful review because the applicable requirements are driven by current immigration medical guidance, not by a static office checklist.
Start with reliable vaccination documentation
The civil surgeon reviews the applicant's vaccination history and determines how the current requirements apply. Office staff can help organize records, but they should avoid making medical or eligibility determinations independently.
Why current guidance matters
Vaccination requirements can change over time. USCIS maintains a current vaccination-requirements page and its policy manual explains how vaccination requirements are evaluated. For that reason, a saved template should never be treated as the final authority.
How software can support the process
Form software can help staff enter and retain the vaccination record in a consistent layout, reopen the record for corrections, and print a clean final form. The useful feature is organization—not replacing the civil surgeon's determination.
Pre-print review
Before finalizing the form, confirm that the vaccination section agrees with the source records and the civil surgeon's assessment, and that any not-applicable or waiver-related entries are documented according to current official guidance.
Keep the workflow current
Government forms and instructions can change. Before a form is finalized, compare the saved record with the current official instructions and requirements that apply to the case. Software can make data entry, saving, retrieval, and printing more consistent, but it does not replace the agency's filing rules.