Changes to the Vaccination Requirements for Adjustment of Status Applicants

Beginning on August 1, 2008, all applicants for adjustment of status (
green card applications) must comply with the United States Citizenship and Immigration Servicesís (USCIS) revised requirements.  The USCIS revised its Form I-693 (Report of Medical Examination and Vaccination Record) to include the new vaccination requirements provided by the Centers for Disease Control and Prevention (CDC).

All adjustment of status applicants must follow age appropriate vacations for: Rotavirus, Hepatitis A, Meningococcal, Human papillomavirus, and Zoster.  Applicants should also note that changes were made to tuberculosis (TB) requirements.  Some of the more significant changes include the following:

Applicants with Class A tuberculosis must complete a full course of TB treatment before receiving medical clearance.

A chest X-ray is required for all applicants with a tuberculin skin test (TST) reaction of less than 5 mm who have signs or symptoms of TB or immunosuppression.

A chest X-ray is required for applicants with a TST reaction of more than 5 mm, including pregnant women.

Sputum cultures and drug susceptibility testing for positive cultures are required for applicants with chest X-ray finding suggestive of active TB disease.
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