Welcome to the United States!


We want your future as an American citizen to be a happy and healthy one and understand that immigration can be a challenging time. 


Trained in both adult and pediatric medicine, Dr. Mikail is committed to making this process as humane and painless as possible for you and your family, while providing top quality, personalized medical care at the same time.


Dr. Mikail is a designated Civil Surgeon with the United States Citizenship and Immigration Service (USCIS). Only USCIS Civil Surgeons are authorized to perform immigration physicals. 


The Immigration Physical involves several required steps:

--A comprehensive medical history and physical exam

--Screening for specific physical and mental disorders

--Additional testing, referral to specialists, and treatment if necessary

--Review of your vaccination record 

--If you are missing required vaccines (or don't have your record), we will test your immunity through blood tests (titers) and/or order the appropriate immunizations. 

--We won't administer vaccinations you don't need.

--Completion of the Medical Clearance Form (I-693), provided by our office


VACCINES TYPICALLY REQUIRED:

(There may be exceptions based on USCIS regulations or particular medical conditions)

--For children:

See ACIP/CDC vaccine recommendations

--For adults age 19-59 years: 

Td/Tdap, MMR (if not immune), Varivax (if not had chicken pox), flu (October-March)

--For adults age 60-64 years:

Td/Tdap,  Varivax (if not had chickenpox), flu (October-March)

--For adults 65 years and older:

Td/Tdap, Varivax (if not had chickenpox), Pneumococcal, flu (October-March)


LAB TEST(S)/IMAGING REQUIRED BY USCIS:

--For all patients age 2 to 14: Quantiferon-TB-Gold (IGRA).

--For all patients age 15 & up: blood test: RPR & Quantiferon-TB-Gold (IGRA); urine GC

--Chest X-Ray, if your TB test is positive


At our office, you will also receive at no extra charge:

--A free Health Risk Assessment (HRA), analysis, and disease prevention counseling

--A guide to federal, state, and local medical resources to help maintain your health


Rates:

For patients with U.S.-based health insurance:

--All rates will be determined by your insurance plan. 

 --Some vaccines and lab tests may be covered by your insurer. Check your policy.


Discounted rate for patients without U.S.-based health insurance:

--The initial history & physical exam is $110. 

--Lab tests, X-rays/imaging, vaccines, referrals, or treatment are charged separately, as requirements may vary depending on your personal medical history. 

--Lab tests and X-rays are deeply discounted for uninsured patients. 

--The L.A. County Health Department may provide some vaccines, referrals, and treatment at no or low cost to you. 

--When your blood tests and vaccinations are complete, you will meet with Dr. Mikail to review your results and sign and receive 2 copies of the I-693 form (one copy will be in a sealed envelope for USCIS). The rate for this visit is $50.


Appointments:

Group appointments can be arranged for families wishing to be seen on the same day. As a courtesy to large families without insurance, we offer 10% off the initial visit to groups of 5 or more.