U.S. immigration law requires specific vaccinations — start gathering your records early

Some vaccines require a series of shots over weeks or months (e.g., Hepatitis B)

Waivers are available for certain vaccinations on religious or medical grounds, but require additional documentation

Immigration HealthmoderateDoctor signature required

Vaccination Documentation Worksheet (Overseas)

DS-3025 · U.S. Department of State

Vaccination Documentation Worksheet used for overseas immigrant visa medical exams by panel physicians.

Form Details

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Where to Submit This Form

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Completed by the panel physician as a supplement to DS-2054 for required vaccinations

Used to document vaccinations required for immigration that were not previously received.

Filing Deadline

Complete as part of the medical examination process before your consular interview.

Required Attachments

📎 Completed DS-3025 vaccination documentation
📎 Records of newly administered vaccinations
📎 Previous vaccination records
📎 Panel physician signature

Processing Time

Part of the medical examination process. Some vaccines require multiple doses weeks apart, so plan accordingly.

What Happens Next

The DS-3025 is included with the DS-2054 medical examination packet sent to the embassy/consulate. The vaccination record becomes part of your permanent immigration file.

Tips for This Form

✓ U.S. immigration law requires specific vaccinations — start gathering your records early
✓ Some vaccines require a series of shots over weeks or months (e.g., Hepatitis B)
✓ Waivers are available for certain vaccinations on religious or medical grounds, but require additional documentation
✓ The list of required vaccinations is updated periodically — confirm current requirements with the panel physician or embassy

More Immigration Health Forms

Report of Immigration Medical Examination

I-693 · U.S. Citizenship and Immigration Services (USCIS)

Report of Immigration Medical Examination and Vaccination Record required for adjustment of status to lawful permanent residency. Covers communicable disease screening (TB, syphilis), vaccination review, and medical history. Submitted in sealed envelope with Form I-485.

I-693 Vaccination Supplement

I-693 Supplement · USCIS

Partial I-693 documenting vaccination history and any vaccines administered during the civil surgeon examination.

Declaration of Self-Sufficiency

I-944 · USCIS

Declaration demonstrating applicant would not become a public charge. Status varies with policy shifts; was rescinded under Biden administration. Check USCIS.gov for current requirements.

I-485 Medical / Public Charge Component

I-485 (medical sections) · USCIS

Application to Register Permanent Residence or Adjust Status includes questions related to public charge determination, health insurance, and use of public benefits.

Overseas Medical Examination for Immigrant/Refugee

DS-2054 · U.S. Department of State

Medical Examination for Immigrant or Refugee Applicant completed overseas by DOS-designated panel physicians for immigrant visa applicants.

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Disclaimer: BeneFill™ provides form-filling assistance and informational guidance only. It is not affiliated with, endorsed by, or sponsored by the U.S. Department of State or any government agency. The information provided is for general informational purposes and does not constitute legal, medical, financial, or tax advice. Always verify form requirements and submission details directly with the issuing agency.