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| Southwest Florida Travelers Clinic - Immigration Physicals |
An Osteoporosis Center and Our Pharmacy coming soon!
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(239) 649-3322
Medical Director:
Christy Cugini, Jr., M.D., F.A.C.P., F.A.C.E.
Diabetes Education Program
The Diabetes Education Program at Naples Medical Center helps to lead you through the maze that is diabetes. The primary function is to increase your understanding and teach the skills you will need to become proactive in your own healthcare. |
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The immigration physical is required for the process of citizenship. Specially designated doctors provide this examination and complete Form I-693. The INS requires that you be current with all the vaccines for your given age group Your vaccine history will be recorded on “Supplemental Form to I-693”. Both forms are placed in a sealed envelope and given to you for your interview with INS.
Guide lines have been established what elements are needed to complete the forms. You will be examined with emphasis on detecting communicable diseases. Blood tests for syphilis will be taken. A skin test for tuberculosis will be applied to the skin of your arm and read at the clinic in 2 - 3 days. A chest x-ray may be needed if your skin test is positive. Your written vaccine history will be reviewed (if available) and needed updates will be given. It usually takes 3 - 5 business days to complete the examination, tests and forms.
Immigration Physicals Fees:
The basic examination covers the skin tests for tuberculosis, blood tests for syphilis, lab fee, and physical examination.
Chest x-ray and vaccine costs are additional.
Physical Examination: $291
(includes TB (tuberculin) skin test and required blood tests for syphilis)
Under 15 years of age: $150 (if blood tests not needed)
Chest X-ray: (if required)
PPD: (if required) |
400 8th St N - 1st Floor
Hours
Mon.-Fri. 8:30 AM - 5:30 PM
Saturday 9:00 AM to 2:00 PM
Sundays Closed
Phone
(239) 649-3333
MEDINA, Tyrone J., M.D. Emergency Medicine
SHIELDS, Paul J., M.D. Internal Medicine
STRANGE, Brandy, M.D.
Family Practice

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Vaccinations:
Cost vary depending on needs. Most adults between age 18 and 45 who have no documentation of previous vaccination require 3 vaccines: diphtheria / tetanus; measles, mumps, rubella (MMR); and chicken pox (Varivax).
Vaccine and test costs vary from time to time and are reflected in the current fees. While rarely required, we reserve the right to change fees without further notice.
Children & Adolescents:
If you are 15 years of age or older, you will need testing for Syphilis blood tests and tuberculosis (skin test and / or chest x-ray). If you are younger than 15, you may need a skin test.
Common Questions:
What will the examination cost?
The basic examination fee quoted by the receptionists covers the skin tests for tuberculosis, blood tests for syphilis, lab fee, and physical examination. Chest x-ray and vaccine costs are additional and available on request. Vaccine and test costs vary from time to time and are reflected in the fees. While rarely required, we reserve the right to change fees if needed.
What if I have a condition found on exam? Am I excluded from applying?
Depending on the abnormality, you may need treatment started or completed prior to final completion of all forms. You may be referred to the Health Department. For some chronic medical conditions a determination of severity (mild, moderate,or severe); recovery or rehabilitation potential (minimal, partial, full) and need for further care (none, low, or high) is required by INS. Your regular doctor may be asked to assist in this determination.
Steps in the process:
| Registration: |
Information needs to be accurate and clear as this information will be used to fill out INS documents. |
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| Physical Examination: |
Some brief questions will be asked relating to past medical history and symptoms. If you do not speak and understand English well, please bring an INTERPRETER to help. Blood pressure and vision tests will be done. Then you will be examined with special attention to evidence of infectious diseases. This will include examination of the female or male genitalia. |
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| Lab Tests: |
Lab tests will include a test for RPR, a test for syphilis. |
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| Skin Tests: |
A skin test will be placed on your forearm and must be read in 48-72 hours, which means you must return to the clinic in 2-3 days for it to be read. If it is positive or you had a history of positive test in the past, a chest x-ray will be taken to ensure that the disease is not active. |
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| Vaccines: |
The INS requires that you be current with all the vaccines for your given age group (see Table on back of brochure). A legible written document of your previous vaccines is required. As per INS instructions, “Self reported doses of vaccine without written documentation are not acceptable”. Many applicants do not have documents of previous vaccines and will require vaccination. For most adults this requires 2 or 3 vaccines, 1) diphtheria/tetanus, 2) measles / mumps / rubella , and 3) varicella (chicken pox). There are additional charges for these vaccines. Your vaccine history will be recorded on “Supplemental Form to I-693”. A copy will be placed in the sealed envelope and a copy given to you for your records. Some shots require a booster in 1 month and will be documented as such on the form. |
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| INS Forms: |
After all the information is gathered, the quadruplicate Form I-693 can be completed. This will be signed by you and placed in a sealed envelope along with the vaccine form (Supplemental Form to I-693) . This envelope is to remain sealed until reviewed by an INS officer. |
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