Green Card (Permanent Residency) Immunizations

The purpose of Green Card ("Permanent Residency") Immunizations is to ensure that immigrated persons are up to date on immunizations for vaccine-preventable diseases. Green Card immunizations are done Tuesday afternoons and every other Thursday by appointment at 515-286-3798.

We are able to complete the I-693 form for those needing vaccinations only. We are unable to do the I-693 physicals. Cost is dependent on vaccinations needed. Persons should bring their immunizations records to the appointment.

Before we can schedule an individual for a green card immunization appointment, the individual will need to be fully immunized for COVID-19. (2 Moderna/Pfizer vaccines and 1 Johnson and Johnson vaccine.) If you do not have your COVID-19 vaccines, you will not be able get an appointment. 

Vaccinations required for Green Card depend upon birth date:

  • DT, DTP, DTap (Ages 2-6 Years)
  • TD, Tdap (Ages 7 Years and up)
    • A total of 3 vaccines
  • Polio, IPV or OPV (Ages 2-17 Years)
  • MMR (Measles, Mumps, Rubella) (Ages 12 mo and up)
    • (Ages 4 years and greater will need a series of 2 vaccines those refugees born before 1956 do not need the MMR)
  • Hib (Ages 2-4 Years)
  • Hepatitis B (Birth to 18 years)
    • A total of 3 vaccines
  • Varicella (Chickenpox) (12 months and up or history of disease)
    • A total of 2 vaccines
  • Pneumococcal Vaccine Prevnar (According to recommendations, Ages 2 months to 23 months pneumovax 65 and older)
  • Influenza Vaccine (recommended yearly) (Ages 6 months and older)
  • Rotavirus (Children 6 weeks to 32 weeks)
  • Hepatitis A (Children 12 mo to 23 mo)
    • A 2 shot series
  • Menigococcal (Ages 11 to 18 Years)

For more information on these vaccines, see vaccination information sheets at: