Question 1

What is Form I-693?

Accepted Answer

Form I-693, or the Medical Examination and Vaccination Record, reports the results of a medical examination to U.S. Citizenship and Immigration Services (USCIS). Form I-693 is used to establish that you are not inadmissible to the United States on public health grounds, when you are applying for adjustment status to become a lawful permanent resident.

Question 2

How do I get Form I-693?

Accepted Answer

Make an appointment with the civil surgeons at 3D Medical DPC, Dr. Ivi Kasimati or Dr. Haki Laho. Attend your medical examination appointment and all follow-up examinations, as required. Book online, call us, or use the chat option.

Question 3

What is your scheduling availability for immigration medical appointments?

Accepted Answer

We offer same day/next day and weekend appointments. Scheduling is extremely easy, convenient, and flexible. Book yours today by phone or the online scheduler. Chat with us for further questions.

Question 4

How long does it take to complete Form I-693 at 3D Medical DPC?

Accepted Answer

The average time frame is 7 days from the day of the medical visit with the civil surgeon.  Please note that abnormal test results and delays in meeting the vaccination requirements may prolong the process. Call our office for help with planning your appointment.

Question 5

How much does it cost to complete the immigration medical report at 3D Medical DPC?

Accepted Answer

The base price is $370 and it includes the full physical exam, mandatory labs, and certification of Form I-693. Call us for more specific information about the overall cost.

Question 6

What payment is accepted?

Accepted Answer

We accept cash, check, card, Apple/Samsung pay.

Question 7

How do I prepare for my appointment with the civil surgeon?

Accepted Answer

Rest assured, we will guide you throughout the process. Please bring the following documentation at your first appointment with the civil surgeon: ·        A government issued valid photo ID (example: driver’s license, passport) ·        Any vaccination/immunization records (translation into English if in a different language) ·        Any medical history regarding POSITIVE TB ·        All the forms that will be sent to your email

Question 8

What if the applicant does not speak English?

Accepted Answer

The help of a certified medical interpreter is not required. A friend or relative who is fluent in both English and the applicant’s spoken language may help as an interpreter.

Question 9

What if the applicant is under 14 years of age?

Accepted Answer

If the applicant is under 14 years of age, the parent or legal guardian may sign the I-693 form on your behalf. A legal guardian may also sign for a mentally incompetent person.

Question 10

What to expect at my immigration medical visit?

Accepted Answer

The Immigration Medical Examination requires a full physical exam to be done. The civil surgeon will evaluate your vaccination record and determine which vaccines you are required to have, if any. Be prepared to give blood for TB and syphilis testing, and a urine sample for gonorrhea testing. These mandatory tests must be ordered by the civil surgeon and performed at 3D Medical DPC, even if you have had them done previously, somewhere else.

Question 11

What if I test positive for TB?

Accepted Answer

Positive TB results are more common than someone may think, and it usually is a non-active tuberculous. With due diligence from our dedicated civil surgeons and administrative staff, we will assist and guide you, so we can limit the impact of this step on the processing time of the immigration medical report.  First, you will be required to get a chest x-ray. You will be able to schedule a same day or next day appointment for the chest x-ray at our partner radiology clinic if you choose. The results are usually received in 24-48 hrs after your chest x-ray and will inform the civil surgeon on completion of the immigration medical report. (If the results warrant, you may be further advised to follow up with your PCP or referred to a TB Clinic for treatment.)

Question 12

What vaccines are required?

Accepted Answer

Completion of vaccination requirements prior to your first appointment with the civil surgeon at 3D Medical DPC, is not required. Based on your age, vaccine record, and medical history, the immigration doctor determines which vaccines you are required to have. For example, Tdap, MMR, Varicella, and Flu vaccines are the most common vaccines for adults. Covid-19 vaccine is a more recent addition to the list. Waivers may be applicable upon doctor’s discretion of pregnancy, allergies, past medical history, and religion beliefs. For more information, please read the USCIS’s Vaccine Requirements According to Applicant Age.

Question 13

What if I do not have a complete vaccination record?

Accepted Answer

Additional blood tests may be needed to establish laboratory evidence of immunity for measles, mumps, rubella, hepatitis A, hepatitis B, polio, and varicella if the applicant lacks acceptable documented history of vaccination for these diseases. The blood titer tests are taken during your first appointment with the civil surgeon and the results will determine if you need vaccination for such diseases.

Question 14

Is Covid-19 vaccine required?

Accepted Answer

Change of Status applicants who are now required to receive the COVID-19 vaccine, must complete the COVID-19 vaccine series (for example, 2 doses of Pfizer-BioNTech or Moderna or 1 dose of Janssen COVID-19) and provide documentation of vaccination to the civil surgeon. A blanket waiver could apply in cases where the COVID-19 vaccine is not age appropriate, or where it is contraindicated.

Question 15

What to expect after the first appointment of the immigration medical examination?

Accepted Answer

- Generally, your form is ready one week after your visit with the civil surgeon at 3. This is conditional on your fulfilling of all the requirements for lab work and vaccinations, as well as lab results.   - You will be notified promptly when the form is ready. Your second appointment will be scheduled at this time.  - Allow for at least half an hour for your second appointment, as the immigration doctor will review the form for accuracy and address any questions or concerns.  - You will receive the certified form in a sealed envelope as required by USCIS and a digital copy for your own records.  - A copy of the certified I-693 Form will be kept in our office for 2 years.  - If for any reason the certified form is rejected, even if that is not due to any error on our part, we will amend it free of charge within 3 (three) business days. This is conditional on the time that has passed since the certification of the I 693 Form, any updates of the USCIS guidelines, and the civil surgeon's medical opinion about any changes on the applicant's health.  - IMPORTANT:DO NOT BREAK THE SEAL OR OPEN THE ENVELOPE. USCIS will not accept Form I-693 if it is not in a sealed envelope or if the envelope is altered in any way.

Question 16

Does the civil surgeon file my I-693 Form?

Accepted Answer

The applicant must submit Form I-693 to USCIS, not the immigration medical doctor. After completing your immigration medical examination, we give you the completed Form I-693 in a sealed envelope. USCIS will return the form to you if the envelope has been opened or altered.

Question 17

What is Direct Primary Care?

Accepted Answer

Direct Primary Care (DPC) is an alternative model of primary care. DPC prioritizes the patient-doctor relationship, minimizing the influence of third parties, such as insurance companies, large healthcare organizations, and the government, in the patient's health care decisions. DPC practices offer a full range of primary care services for a monthly or annual retainer fee paid directly to the practice, freeing more time and resources for patient care.

Question 18

How does Direct Primary Care differ from a traditional practice?

Accepted Answer

In a traditional practice, doctors are paid based on a 'fee-for-service', third-party-payer billing system, which incentivizes quantity over quality of patient care.  In a Direct Primary Care practice, the patient and the doctor enter a direct contract, thus eliminating third-parties such as insurance companies and the government.  Direct Primary Care benefits both physicians and patients, laying the way to a personal patient-doctor relationship. The patient can have thorough doctor visits, scheduling flexibility, and afterhours access to their doctor.  To learn more about how Direct Primary Care can benefit you, please schedule a complimentary consultation with our doctors.

Question 19

Do you accept health insurance?

Accepted Answer

Health insurance plays no role in a Direct Primary Care practice. Therefore, you do not need health insurance to enroll with 3D Medical and 3D Medical does not accept health insurance*.    The monthly, or annual, membership fee you pay directly to 3D Medical DPC covers primary care services, care coordination, and comprehensive care management. In addition, we offer some basic urgent care and acute care services. There are no copays or deductibles.  We suggest that you acquire a high deductible wraparound health insurance policy to cover those situations for which insurance was intended: emergencies and hospitalization; additionally, health care needs outside of what we offer, like specialist visits, medication, lab work, and radiology services.  We will happily help you customize an insurance policy that works best in conjunction with DPC.  *Medicare enrollees, please read the next question.

Question 20

What if I have Medicare?

Accepted Answer

3D Medical has set up concierge services for Medicare patients.   3D Medical will charge a flat monthly, or annual fee for services not covered under Medicare Part B.   3D Medical will arrange to seek reimbursement for services covered under Medicare Part B.

Question 21

A short video clip about DPC? Enjoy.

Accepted Answer

Click Here.

Question 22

What is included with membership?

Accepted Answer

Up to 12 office visits per year (no co-pay required!) Annual physical exam, wellness and sick visits, routine screenings, and chronic disease management Electronic communication and virtual visits Assistance with referrals and off-site testing Coordination of care with specialists Monitoring of hospital care and coordination of follow-up care

Question 23

I still have questions about joining 3D Medical. Can we talk?

Accepted Answer

Absolutely. We offer an obligation-free non-clinical consultation with one of our physicians to answer questions and see if 3D Medical can be a good fit for your health care.

Question 24

Does DPC benefit employers?

Accepted Answer

DPC may benefit employers in several significant ways. Cuts in health costs for employees, gains in productivity, and talent retention are few of these advantages.

DIRECT PRIMARY CARE

IMMIGRATION MEDICAL

CONCIERGE MEDICINE

ABOUT OUR SERVICES

Personal Patient
Doctor Realtionship

Meet The Team

Ivi Kasimati, MD

Civil Surgeon
Co-Founder

Haki Laho, MD

Civil Surgeon
Co-Founder

Jennifer Inthirath

I-693 Coordinator
Patient Liaison

Excellent service!! Highly recommend it. Best doctors on board, as well as a very convenient location. The flexibility, dedication, and convenience make this practice stand out.

Direct Primary Care
Service Areas

Health Management

Preventative Care

Urgent Care

Labs & Procedures

Direct Primary Care
Plans & Pricing

Age-group plans for individuals

$90

$125

Concierge Medicine for Medicare Enrollees

Physical Exam/ Walk-In
Sick Visit/ Wellness Visit

FAQ

Schedule Your Appointment

500 Victory Road, Quincy, MA 02171

DIRECT PRIMARY CARE

IMMIGRATION MEDICAL

CONCIERGE MEDICINE

ABOUT OUR SERVICES

Personal Patient Doctor Realtionship

Meet The Team

Ivi Kasimati, MD

Civil Surgeon Co-Founder

Haki Laho, MD

Civil Surgeon Co-Founder

Jennifer Inthirath

I-693 Coordinator Patient Liaison

Excellent service!! Highly recommend it. Best doctors on board, as well as a very convenient location. The flexibility, dedication, and convenience make this practice stand out.

Direct Primary Care Service Areas

Health Management

Preventative Care

Urgent Care

Labs & Procedures

Direct Primary Care Plans & Pricing

Age-group plans for individuals

$90

$125

Concierge Medicine for Medicare Enrollees

Physical Exam/ Walk-In Sick Visit/ Wellness Visit

FAQ

Personal Patient
Doctor Realtionship

Civil Surgeon
Co-Founder

Civil Surgeon
Co-Founder

I-693 Coordinator
Patient Liaison

Direct Primary Care
Service Areas

Direct Primary Care
Plans & Pricing

Physical Exam/ Walk-In
Sick Visit/ Wellness Visit