Vaccinations — you have to get them unless you qualify for a medical and religious exemption

Learn about vaccinations and medical requirements for the green card application, including exemptions for medical and religious reasons.To get a green card through marriage, you need to undergo a medical exam with a USCIS approved doctor. You can find the doctors using the tool at this website. The doctor will give you a sealed envelope with Form I-693. You should also request an unsealed copy of Form I-693 so that your attorney can review it. 

The medical exam requires you to have certain vaccinations. You can find the vaccination list at this link.  There may be vaccinations that you cannot get right now due to your current age or health reasons. If so, there is no problem, and those would be considered medical waivers to the vaccination requirement. However, if the doctor determines that you need a vaccination and you do not want to take it for a medical reason and the doctor does not agree,  you will have a problem. 

Also, you may not want to get a vaccination for religious reasons. Those waivers are difficult to obtain, and you must show the following:

  • You are opposed to all vaccinations in any form.: This means you are opposed to all vaccinations, not just a specific vaccination such as the flu or COVID vaccinations. You may have received vaccinations as a child, but as long as you have not received any as an adult, you may be able to meet this requirement.  
  • Your objection must be based on religious beliefs or moral convictions.: You have to show that you belong to an actual religion that holds an actual opposition to vaccinations. A mere preference of yours won’t cut it. 

The religious belief or moral conviction must be sincere.: Again, you have to show that you are part of a religion that holds this belief. If you just joined the religion recently, you’ll have more difficulty proving that this is a “sincere” religious belief.


If you need to talk to an experienced immigration attorney. We’ve helped hundreds of people traverse the complicated immigration and citizenship process. We would love to help you as well.  Call (617-744-7919) or email to get in touch.