Dr. Garg is USCIS designated civil surgeon

Dr. Garg is USCIS designated civil surgeon .

Please have the I-693 from packet filled outwith your name at the top of each page prior to your arrival.

Please note :

As Per updated guidelines by USCIS /CDC : Civil surgeons are required to order testing for STD as well and  TB test  by themselves . No outside tests done prior to your appointment with civil surgeon will be accepted for this matter . You can yourself  review the current guidelines by visiting the following URL and noting the key concepts section there in :

Gonorrhea Test

Syphilis Test

You can still see your primary care provider for vaccinations and vaccine titres .Civil Surgeons are allowed to accept vaccination records from your primary care provider . Pediatric patients can get vaccines through their pediatrician and  bring their immunization card .

We can provide you with required vaccines or we can issue you a prescription to get the vaccines from your local pharmacy .You can bring proof of vaccination for form completion . We are unable to provide COVID vaccine at present and you will have to get it from your local pharmacy , a prescription is not needed .

Lab orders will be given at the time of the appointment. 

We can administer the required vaccines or we can issue you a prescription to get vaccine from a local pharmacy .


Lab work for most individuals aged >/15 years



QUANTIFERON TB (required for all age >/=2 years)

Vaccine titres : MMR , Varicella , Hepatitis B (certain exceptions)

Please note :

If Quantiferon TB test is positive , you will need a CXR to confirm that you don’t have active TB .

Required Vaccines (for most Adults) : Tdap , COVID , MMR (vaccine titres accepted) , Varicella (vaccine titres accepted), Hep B (vaccine titres accepted) , Flu ( only in influenza season)

List is different for children and elderly patients age >/=65 years

All Elderly patients age >/=65 years needs pneumococcal vaccine ( Prevnar 20 is preferred )

You can review the exhaustive list by following the link as below :

For Children :

HepA , Hep B , Hib , Rotavirus , Polio, MMR , Varicella , PCV ,Meningococcal (11-18 yrs old) , DTap ( 2months- 6 years) and Tdap (may be required for ages 7-10 and required for 11 and up)

Hep B vaccination is recommended for adults aged 19–59 years and adults aged ≥60 years with risk factors for hepatitis B

You can review the exhaustive list by following the link as below :

Vaccine Requirements according to age

POLIO VACCINE BOOSTER :  All immigrant visa applicants who are either residents of or long-term visitors (i.e., > 4 weeks) to the below  countries are required to receive one dose of inactivated poliovirus vaccine (IPV) within the 12 months before travel to the United States to be considered admissible for immigration purposes.

  • WPV1:  Afghanistan, Malawi, and Pakistan
  • cVDPV1:  Madagascar and Yemen
  • cVDPV2:  Afghanistan, Benin, Burkina Faso, Cameroon, Central African Republic, Chad, the Democratic Republic of the Congo, Djibouti, Egypt, Ethiopia, Gambia, Guinea, Guinea Bissau, Iran, Liberia, Mauritania, Mozambique, Niger, Nigeria, Pakistan, Republic of Congo, Senegal, Sierra Leone, Somalia, South Sudan, Tajikistan, Uganda, Ukraine, and Yemen

COVID Vaccination :

The COVID-19 vaccines approved for use in these Technical Instructions, hereinafter referred to as “approved COVID-19 vaccines,” are those vaccines authorized for emergency use (EUA) or approved by the US Food and Drug Administration (FDA) or listed for emergency use (EUL) by the World Health Organization (WHO).

People who received COVID-19 vaccine outside the United States

Table A.2. Received a COVID-19 vaccine listed for emergency use by WHO but not approved or authorized by FDA

Received a COVID-19 vaccine listed for emergency use by WHO but not approved or authorized by FDA
Vaccination historyRecommended actions
Received all recommended primary doses for that vaccine
  • Do not repeat primary series.
  • Administer booster dose(s) if eligible.
Received partial primary series for that vaccine
  • Complete the primary series with mRNA vaccine dose(s) as close to the recommended time as possible. Space from the last WHO-EUL vaccine by at least 28 days.
  • Administer booster dose(s) if eligible.
Received a booster dose after completion of primary series
  • Do not repeat booster dose.
  • Administer a second booster dose if eligible.


Please download and print out the I-693 form for each individual from :

Do all vaccine series have to be completed before vaccination requirements are fulfilled?

For vaccines requiring a series, only a single dose is required for immigration purposes, except for the COVID-19 vaccine series.  For most vaccines, if administration of the single dose of a vaccine at the time of the medical examination does not complete the series for that vaccine, the “Insufficient time interval to complete series” reason will be documented to indicate that additional doses will be needed to complete the series for that vaccine.

Exception : Primary series of COVID vaccine must be completed before immigration physical


2 appointments are needed

First appointment : We  will review your history , perform physical , review everything you bring and we will order whatever is missing

Second appointment : We will fill all the missing stuff and give you the completed paperwork

We will give a sealed envelope to you with all your paperwork and 1 copy for your records  at no additional cost

The second appt will be asap (it depends on what things you are missing and when we get the lab reports)



1. Do you provide a duplicate original 

If you have a valid reason for requesting duplicate original, please write an email at

We charge $50 for it

2. My GC exam was done < 6months ago but my dates retrogressed. Do I need to repeat my GC exam?

If <6 months have elapsed since the last check: no repeat exam is needed if nothing has changed in medical history and you have not travelled outside of US (certain exceptions apply) 

If 6-12 months have passed since the last check : repeat GC exam will be needed , you can use the same labs . 

If 12 months or more have passed since the last check: repeat GC exam + repeat labs are needed .

3. My sealed package was open in transit. Do you charge for resealing packet? Why?

We charge $35- $50 (depending on the work we need to do)  to reseal the package if we are convinced that nothing has been changed or tempered with and the seal was broken in transit or accidentally. 

We must reinspect everything before resealing

The doctor might need to sign the package again.

4. Which pneumonia vaccine do i need for my elderly parents at or  above 65 years of age ?

As per USCIS guidelines PCV 20 or PCV 15 followed 1 year later by PPSV23  are the only approved pneumococcal vaccines for patients aged 65 and above . Some civil surgeons are still giving Prevnar 23 which is no longer in guidelines .

You can review latest guidelines in table 1  here : 
Who We Are

What We Do

Our vision at One Stop is to provide a single getaway for primary care , aesthetic care travel and weight loss medicine. We also prescribe weight medications for eligible candidates. We accept all major insurances.

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