Green Card (Permanent Residency) Physicals and Immunizations

We now offer TWO different clinics for individuals applying for permanent residence or to adjust status. Individuals should make an appointment with ONE of these clinics based on their need for immunizations only or a medical exam with or without immunizations.  

Immigration Physical Clinic: The Immigration Physical Clinic provides an immigration medical examination (physical), labs, immunizations, and the completion of the I-693 Physical for U.S. citizenship and immigration.  *This clinic is only for immigrants who need a physical (medical exam) and the I-693 Medical Examination and Vaccination Record.* 

  • The cost of an Immigration Physical depends on services needed.
  • Please note, the cost of the physical and lab services are due at the time of your visit. The physical costs $300, and lab services cost can range from $15 to $155, depending on what you need.
  • The cost of immunizations also depends on what you need. If you have health insurance, this will help cover the cost of immunizations. 
  • To schedule an appointment with the Immigration Physical Clinic, please call (515) 286-3798. The Immigration Physical Clinic is held on Tuesday mornings.

Green Card Clinic: The Green Card Clinic provides up-to-date immunizations and a completed I-693 Vaccination Record.  This clinic is for immigrated individuals who need an I-693 Vaccination Record.  Vaccinations are given during appointments as needed to meet USCIS and ACIP requirements. This is an immunization only clinic.

  • Cost depends on vaccinations needed.
  • Green Card immunizations are provided on Tuesday and Thursday afternoons by appointment.
  • To get information regarding these appointments, call (515) 286-3798. 

Vaccinations required by USCIS apply to both clinics and depend on age (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 months 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 through 59 months)
  • Hepatitis B (Birth to 59 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 59 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 months through 18 years old)
    • A 2 shot series
  • Meningococcal (Ages 11 to 18 Years)

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

COVID-19 Vaccination Requirement

  • The current COVID-19 Vaccine ACIP recommendation for the general population is used to determine if an applicant is currently due for a dose.
  • Applicants must receive one dose of the COVID-19 vaccine if a dose is due at the time of the immigration medical examination.
  • For the purposes of the immigration medical examination only, applicants who have not received a COVID-19 vaccine dose in the 12 months prior to the date of the exam are considered due for a dose.
  • As with other vaccinations, additional doses recommended for people in older age groups, with certain health conditions, or who are immunocompromised are not required for immigration.
  • Interim Clinical Considerations for Use of COVID-19 Vaccines: Appendices, References, and Previous Updates are used to determine if people who received doses of COVID-19 vaccine outside the United States are due for a dose.