Immigration Update! As of 11/3/21 the U.S. Citizenship & Immigration Service (USCIS) has added a vaccination requirement for child immigrants and refugees. All children age 5 and older who are applying for “adjustment of status” must now COMPLETE a COVID-19 vaccination series (with rare exceptions).  For now, this is TWO shots of the Pfizer-BioNTech (the only approved vaccine for children at present) vaccine. The Civil Surgeon cannot sign and date the Form I-693 (Report of Medical Examination and Vaccination Record) for immigrants or “modified’ Form I-693 for refugees until this vaccination requirement has been met.  Call us with any questions about this new requirement.