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Holding Hands

Immigration Medical Examination

 

List of Things You Need to Bring

1. A valid photo ID(PASSPORT/US DRIVER'S LICENSE)

2. Insurance Card

3. I-693 Form

4. vaccine records

5. New patient registration form

Please download and fill out the forms

 before your first visit: 

 

 

 

 

 

 

 

 

 

Instruction for Filling I-693:

 

Do Not Sign Before you see the doctor. Black ink Only.  

For Adults: Fill out Part 1, 2

Under 15 yrs old: Fill out Part 1,2,4

For Patients who don't understand English,

the Preparer must fill out: Part 1,2,3,4

 

*Make sure there is a bar code on the bottom part of the I-693 Form. And names on top of it on every page.

To Make an Appointment Please Call Us, We do not accept Walk-ins

*New Policy Regarding Covid-19 2024
*New Policy Regarding Polio Vaccines 2024

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