Children under 14 follow a simplified I-693 protocol. The exam is shorter, less invasive, and less expensive than the adult version.
What’s different for children
- No syphilis serology (required only for age 15+)
- No gonorrhea NAAT (required only for age 18–24 routinely)
- No alcohol or drug screening interview
- Mental health screening is age-appropriate
- TB IGRA still required for age 2+
What is required
- Physical examination and growth chart review
- Age-appropriate vaccinations to CDC schedule
- TB IGRA blood test if 2 or older
Tips for parents
Bring the child’s vaccination record from their pediatrician. Children who’ve kept up with US childhood vaccinations usually don’t need additional shots at the I-693 visit. Bring a parent ID and the child’s USCIS receipt notice.