Comprehensive Medical & Immigration Services

SERVICES AND FEES **

EVALUATION AND MANAGEMENT

• 99203 Initial visit 45 min: $140

• 99213 Follow-up visit 15 min: $80

• 99136 Cognitive Testing: $40

• 99080 Narrative Report: $280

• 93000 ECG: $80

IMMUNIZATIONS

• Tetanus: $100

• MMR: $140

• Polio: $120

• Hepatitis B: $150

• Influenzae: $60

LABORATORY

• Quantiferon Gold: $100

• RPR: $35

• MMR titer: $80

• Varicella titer: $25

• CBC: $25

• Basic metabolic profile: $40

• Complete metabolic profile: $50

• Lipid Panel: $45

• Thyroid Stimulating Hormone test: $45

• Hgb A1C $25

• Urinalysis $35

**All prices listed on each service are for consultation services only, except for: Immigration Medical Exams (Form I-693) and Medical Certification for Disability Exception. Any additional work—including implementation, documentation, follow-up sessions, ongoing support, or project services—will be quoted separately based on your specific needs.

1. Immigration Medical Exams
(Form I-693)
Fast • Accurate • USCIS-Compliant.

Our USCIS-Designated civil surgeon provides comprehensive I-693 immigration medical exams, including all required testing and vaccinations, all done on-site.

What’s Included

• Complete physical exam

• Review of medical history

• USCIS-required labs:

  • TB screening (IGRA blood test)

  • Syphilis test (RPR)

  • Gonorrhea test (NAAT)

• All required vaccinations (MMR, Varicella, Tdap, Polio, Hep B, Flu in season)

• Sealed I-693 packet for USCIS + personal copy

• Turnaround: 3–7 business days after labs return

2. Medical Certification for Disability Exception
(Form N-648)
Compassionate, thorough evaluations for U.S. citizenship applicants.

We conduct medical evaluations for individuals who, due to a medical condition or disability, are unable to meet the English/civics requirement for naturalisation.

Our N-648 Evaluation Process

• Comprehensive medical assessment

• Condition review & documentation

• Coordination with your primary care or specialist (if needed)

• Proper USCIS-compliant completion of Form N-648

• Detailed explanation of your condition and functional limitations

• Support throughout the submission process

3. Internal Medicine & Primary Care
Your long-term medical partner.

We provide comprehensive medical care, chronic disease management, and preventive services that support your overall health and wellness.

Services Include

• Annual physicals

• Wellness exams

• Chronic disease management:

  • Diabetes

  • Hypertension

  • High cholesterol

  • Thyroid disorders

• Health screenings (blood pressure, labs, metabolic panels)

• Medication management

• Lifestyle & wellness counseling

4. Preventive Care & Vaccinations

Protect your health with routine screenings and immunizations.

We offer a comprehensive range of preventive health services and vaccinations to help you stay healthy and compliant with USCIS and CDC standards.

Vaccines Offered

• MMR

• Varicella

• Hepatitis B

• Tdap

• Polio

• Influenza (seasonal)

Preventive Services

• Immunity titers

• Wellness screenings

• Lifestyle and nutrition guidance

• Blood pressure & glucose checks.

5. Weight-Loss Management
Personalized, medically supervised weight-loss programs

Our providers develop safe and effective weight-management plans tailored to your specific health needs and goals.

What We Offer

• Initial medical evaluation

• Personalized treatment plan

• Nutritional counseling

• Medication-assisted weight loss (when appropriate)

• Progress monitoring

• Lifestyle & habit coaching

6. OBOT: Office-Based Opioid Therapy
Personalized, medically assisted therapy for opiate use disorder

Our providers develop safe and effective opioid addiction management plans tailored to your specific health needs and goals.

What We Offer

• Initial medical evaluation

• Personalized treatment plan

• Cognitive Behavioral Therapy

• Medication-assisted Therapy with oral, sublingual, or injectable buprenorphine

• Progress monitoring

• Lifestyle & habit coaching