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Guide · Children

I-693 medical exams for children

Dr. Rekha Manghnani is a board-certified pediatrician and a USCIS-designated civil surgeon — so children are in experienced hands.

Why families choose a pediatrician

  • Dr. Manghnani is board-certified in Pediatrics and a member of the American Academy of Pediatrics.
  • Exams, blood draws and vaccines are done with patience and explained to parents and children.
  • The whole family can be seen in one visit, with $50 off the exam fee for each family member after the first two.
  • Our staff speak English, Spanish, Korean, Chinese, Punjabi, Hindi, Marathi and Gujarati.

What children need, by age

AgeLab testsNotes
Under 2Usually noneTB testing only in certain cases, such as a known TB exposure
2 to 17TB blood test (IGRA)Vaccines checked against the CDC table for the child's age

Teenagers 11 and older also need Tdap and meningococcal vaccines if they haven't had them. See vaccines required by age.

Tips for the visit

  • Bring the child's passport or birth certificate and every vaccination record you have.
  • A parent or legal guardian should come to the visit and answer the health questions for young children.
  • Bring a snack and a favorite toy — a calm child makes the visit quicker.

Common questions

Most children applying for adjustment of status need a Form I-693 completed by a civil surgeon, just like adults.

Children under 2 usually don't need TB testing unless there is a specific reason, such as a known TB exposure. From age 2 the IGRA blood test is required.

Yes. We see families in one visit, and families of more than 2 get $50 off the exam fee for each additional member.

Medically reviewed by Dr. Rekha Manghnani, MD, USCIS-designated civil surgeon · Last updated October 2026. This page is general information, not legal advice.

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Ready to book your I-693 exam?

Schedule online or call us at 408-297-9949. Same-week appointments available.