Family Appointments at ImmigrationMedicalExams.com

ImmigrationMedicalExams.com actively welcomes families who need immigration medical examinations for multiple family members on the same day. We understand that immigration cases often involve entire households — spouses adjusting status together, parents petitioned by a U.S. citizen child, or siblings applying through the same family-based petition. Requiring each family member to schedule and attend separate appointments on different days adds unnecessary stress, cost, and logistical complexity to an already demanding process.

By coordinating a family appointment at our Costa Mesa clinic, all family members can complete their USCIS-required immigration medical examinations in a single visit. This matters for immigration timelines: when multiple family members are co-applicants on the same I-485 petition, having all Forms I-693 completed and ready at the same time prevents one family member's delayed exam from holding up the entire household's case. Our scheduling team is experienced at blocking adequate time for families and ensuring the visit runs efficiently for everyone.

Who Can Be Included in a Family Appointment

Any family members who each independently require a USCIS immigration medical examination can be included in a family appointment. This commonly includes spouses applying together for adjustment of status, children of any age (from infants to adult children), parents petitioned by a U.S. citizen, and siblings or other relatives who are co-applicants or concurrent filers.

It is important to understand that each family member must have their own Form I-693 — there is no shared or family version of the form. USCIS requires a separate, individually completed, and individually sealed Form I-693 for every applicant, regardless of age. A two-year-old child and a sixty-year-old grandparent each need their own form.

Age-based requirements also differ significantly across family members. Children under the age of two have different vaccine requirements than older children. Adolescents have requirements that differ from adults. Seniors over 65 may have additional vaccine recommendations. Our civil surgeon applies the correct age-specific USCIS technical instructions to each family member individually, so the family appointment does not mean a one-size-fits-all approach — it simply means everyone is seen on the same day.

How to Schedule a Family Appointment

To schedule a family appointment, call our office directly at 714-760-4538. Our scheduling team will work with you to block sufficient time for each family member and confirm that all necessary resources — including any required laboratory testing and vaccines — are available for your visit. We recommend calling at least several days in advance for family appointments so we can prepare properly, though same-day family appointments may be available depending on our schedule.

When you call, please be ready to provide the following information so we can plan your appointment accurately:

• The total number of family members who need exams
• The age of each family member (especially important for children and seniors)
• Whether each person has their vaccination records available
• Any known gaps in vaccination history (e.g., missing childhood vaccines, no records from home country)
• Whether any family member has a known medical condition that may be relevant to the exam
• Your preferred appointment date and any scheduling constraints

What Each Family Member Needs to Bring

Organized documentation is the single most important factor in keeping a family appointment running smoothly. When multiple family members arrive with complete, well-organized records, the civil surgeon can move efficiently through each evaluation. When records are missing or disorganized, the entire family's appointment can be delayed.

Each family member should bring the following to their appointment:

• Government-issued photo ID (passport, state ID, or driver's license) for adults and older teens
• Birth certificate for children who do not yet have a government-issued photo ID
• All available vaccination records — including records from the home country if applicable
• Any prior immigration medical exam records, if a previous exam was performed
• Records of any chronic medical conditions, current medications, or recent surgeries
• Records of any prior positive TB test (TST or IGRA) and any TB treatment history
• Payment for each family member's exam (we accept cash, credit cards, and debit cards)

Individual Evaluations Within Family Appointments

A family appointment is a scheduling and logistics convenience — it is not a group examination. Every family member receives a fully individual evaluation by our civil surgeon. Each person's medical history is reviewed privately, each person's physical examination is conducted separately, and each person's Form I-693 is completed and sealed individually.

The civil surgeon evaluates each family member according to their own age, health history, and vaccination status. A child's exam will focus on the age-appropriate vaccine schedule and pediatric-specific requirements. An adult's exam will include the full physical examination, laboratory testing as required, and the adult vaccine schedule. A senior family member's exam will account for age-related vaccine recommendations and any chronic health conditions.

Each completed Form I-693 is sealed in its own individual envelope and given to the respective family member. Family members do not share a form, share an envelope, or submit a combined document. USCIS requires each applicant to submit their own sealed Form I-693 with their own I-485 package or present it at their own USCIS interview.

Coordinating Vaccination Records for Multiple Family Members

Gathering complete vaccination records for every family member before the appointment is the most important preparation step for a family visit. Missing or incomplete vaccination records are the number one cause of delays, additional costs, and follow-up appointments in family immigration medical exams. When records are unavailable, the civil surgeon may need to order titer blood tests to check for immunity, or may need to administer catch-up vaccines — both of which add time and cost to the appointment.

If any family member is missing vaccination records, take the following steps before your appointment: contact the family member's primary care physician or pediatrician to request a copy of their immunization history; contact the health authority or ministry of health in the home country if records were issued abroad; check whether the family member's school, employer, or prior healthcare provider has records on file.

If records simply cannot be located, do not delay scheduling your appointment. Our team can advise you on what options are available, including titer testing to document existing immunity and catch-up vaccination for any required vaccines that cannot be documented. We have helped many families navigate incomplete vaccination histories and can guide you through the process efficiently.