In light of the Coronavirus (COVID-19), all consultations will be conducted by phone or online until further notice. We are open and fully operational for servicing clients, but our office will be closed to the public. Feel free to contact us:

Medical Examination Form 1-639

The Centers for Disease Control and Prevention (CDC) have informed U.S. Citizenship and Immigration Services that the availability of the seasonal influenza (flu) vaccine varies both geographically and temporally. Please see CDC's message at The seasonal flu vaccine is one of the vaccines required for applicants for adjustment of status, 6 months through 18 years of age, and individuals ages 50 years or older. The receipt of the required vaccines is recorded on Form I-693, Report of Medical Examination and Vaccination Record (10/14/2009 edition date).

Based on CDC's information, Form I-693 may be accepted without the seasonal flu vaccine if the following conditions are met:

  • The civil surgeon (or for refugees only, the health department) does not have the seasonal flu vaccine available; AND
  • If Form I-693 is completed by a civil surgeon, the civil surgeon either has referred the applicant to the health department to obtain the seasonal flu vaccine, or has contacted the health department for the availability of the seasonal flu vaccine, but the health department does not have the seasonal flu vaccine available; AND

This notice is effective immediately and extends through March 31, 2010. Until further notice is given by CDC, the H1N1 influenza vaccine is not part of the vaccination requirements for purposes of Form I-693.