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Medical Examination

Dr. Haki Laho and Dr. Ivi Kasimati are USCIS-designated civil surgeons, authorized to perform the immigration medical exam and certify Form I-693. Form I-693 reports results of a medical examination to U.S. Citizenship and Immigration Services (USCIS). The USCIS requires the immigration medical examination report to establish that applicants who are applying for adjustment status to become a lawful permanent resident, are not inadmissible to the United States on public health grounds. Medical examinations and vaccinations in the United States are typically required for anyone who files Form I-485, Application to Register Permanent Residence or Adjust Status. Certification of the Immigration Medical Examination and Vaccination Record brings you one step closer to establishing your lawful permanent resident status in the US and living the American Dream.  


Why Book Your Immigration Medical at 3D Medical DPC? 

We have highly experienced civil surgeons and designated personnel on staff, who will guide you through the process, provide you with flexible scheduling, and keep you updated, to keep the process on track and complete the certification of Form I-693 in an accurate and timely manner. 

We are happy and honored to take part in this process!


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Two civil surgeons, designated administrative staff, and your active participation are the basis for a streamlined & accurate process.


— Ella

Highly recommended! Professional and caring staff. Flexible scheduling options. Quick processing. My son is afraid of needles, but Dr. Laho's worked his magic and made him feel relaxed in no time. I-693 forms for my family were completed within one week. Happy! 

  • What is Form I-693?
    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.
  • How do I get Form I-693?
    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.
  • What is your scheduling availability for immigration medical appointments?
    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.
  • How long does it take to complete Form I-693 at 3D Medical DPC?
    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.
  • How much does it cost to complete the immigration medical report at 3D Medical DPC?
    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.
  • What payment is accepted?
    We accept cash, check, card, Apple/Samsung pay.
  • How do I prepare for my appointment with the civil surgeon?
    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
  • What if the applicant does not speak English?
    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.
  • What if the applicant is under 14 years of age?
    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.
  • What to expect at my immigration medical visit?
    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.
  • What if I test positive for TB?
    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.)
  • What vaccines are required?
    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.
  • What if I do not have a complete vaccination record?
    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.
  • Is Covid-19 vaccine required?
    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.
  • What to expect after the first appointment of the immigration medical examination?
    - 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.
  • Does the civil surgeon file my I-693 Form?
    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.
  • What is Direct Primary Care?
    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.
  • How does Direct Primary Care differ from a traditional practice?
    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.
  • Do you accept health insurance?
    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.
  • What if I have Medicare?
    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.
  • A short video clip about DPC? Enjoy.
    Click Here.
  • What is included with membership?
    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
  • I still have questions about joining 3D Medical. Can we talk?
    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.
  • Does DPC benefit employers?
    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.
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