Holding Hands

Immigration Medical Examination

 

List of Things you Need to Bring:

1. A valid photo ID

2. Insurance Card 

3. I-693 Form

4. vaccine records

5. New patient registration form

Please download and fill out before your first visit: 

New patient registration form.

New Patient registration form (中文版).

Green Card/immigration physical Exam I-693 form.

*Make sure there is a bar code on the bottom part of the I-693 Form.

 

 

 

 

 

 

 

 

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

 

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

*New Policy Regarding Covid-19 and Hep B For 2022