Dr. Kainkaryam is a designated US Civil Surgeon by USCIS (https://my.uscis.gov/findadoctor).

Our immigration physicals are a two-part process, where the first part is to identify the various needs and complete the exam, and the second part is to follow-up on any tests/needs and complete the paperwork.

Please use this link to Register as a patient for Immigration Physicals: Immigration Physical Registration

Once registered, you may book your appointment online at our Online Booking site.

Many insurances do not cover immigration physicals or the labs and screening tests that are required. However, we give our patients the choice to have either a bundled package which includes the required labs, or to order your labs and bill it through your insurance. You must choose which package you are getting before the visit prior to the orders being placed.

Package OptionsAdult
(15+ years)
Child
(2-14 years)
I-693 Basic Exam Only
(does not include any labs; any labs required would be billed to you or your insurance by the lab vendor and would not be covered by the practice)
$225$200
I-693 Exam and Basic Screening Labs
(includes gonorrhea, RPR (syphilis), and Quantiferon Tuberculosis Gold Test if applicable, and the lab would not charge you any additional costs for the included lab tests)
$350$290

Additional Blood Tests
If, based on review of your documents, you need additional bloodwork, and you have insurance, you have two options. You must choose which option you want prior to ordering the tests.
1. Use your insurance to cover the costs of the test (which you may not know until you receive the bill from the lab).
2. Our practice will cover the costs of the tests and you would pay us the fixed rates listed below.

Additional Blood Tests (if needed)Cost
MMR Immunity Titer – blood test$50
Hepatitis A Immunity Titer – blood test$25
Hepatitis B Immunity Titer – blood test$25
Varicella/Chicken Pox Immunity Titer – blood test$50

X-Rays
If you need an x-ray, you have two options. You must choose which option you want prior to ordering the tests.
1. Use your insurance to cover the costs of the test (which you may not know until you receive the bill) and go to an x-ray site of your choice.
2. Go to our imaging partner and pay them the cost listed below.

X-Ray (if needed)Cost
Chest X-Ray (to be done at our imaging partner)$45

Vaccinations/Immunizations
If, based on review of your documents, you need additional vaccinations, you may choose to get them at our practice (if we have it in stock), or, if you are above the age of 18, you can get them at any Pharmacy, and the Pharmacy will bill you or your insurance. Since we do not accept or bill insurance, our prices are listed below. For children, some of the vaccines may be covered free through the Connecticut Vaccination Program depending on the age.

Vaccination/Immunization (if needed)Cost
Tdap VaccineAdults: $55
Children: TBD
MMR Vaccine (each)Adults: TBD
Hepatitis A Vaccine (each)Children: TBD
Hepatitis B Vaccine (each)Adults: TBD
Children: TBD
Meningococcal Vaccine (Menactra)Adults: TBD
Children: TBD
Varicella Vaccine (Chickenpox)Adults: TBD
Children: TBD
Influenza VaccineAdults: TBD
Children: TBD

VisitsInstructions
First Visit
(Approximately 1 hour)
Please bring the following:

Government-issued ID with picture (passport preferred)

Medical Records translated into English by certified translator. If you have had treatment for Tuberculosis or any other communicable disease, this information should be there.

Immunization/Vaccination Records translated into English by a certified translator

Mental Health Records translated into English by a certified translator

Interpreter – if you need interpreter services, you are required to bring a certified interpreter with you

I-693 Forms – DO NOT sign Section 2.

We will review your medical history, complete your exam, and order any necessary testing based on review of documents.
Second Visit
(Approximately 30 minutes)
We will complete the paperwork and certify form I-693 and the intake form and provide the forms in a sealed envelope. DO NOT OPEN THE SEALED ENVELOPE – this must be turned in with your immigration application to the Department of Homeland Security. A copy of your I-693 report will be provided for you to keep after we have discussed the results. The exam is valid up to a year after the immigration exam date.

If you choose to obtain your Immigration Physical with us, and you opt to become a member of the Direct Primary Care practice, then your initial enrollment fee is waived and you may proceed directly into monthly membership for primary care… hope you will join us!