Immigration paperwork almost never arrives with plain instructions, and the medical portion is usually the part applicants understand least. Two separate USCIS forms account for most of that confusion, and each one calls for a different examination, a different set of records, and a physician holding a different qualification. Knowing which form applies to your case is the first step toward finishing it without a request for evidence slowing everything down.
Both evaluations are performed by Lukuman Afuwape, MD, a physician board certified in emergency medicine by the American Board of Emergency Medicine and a civil surgeon designated by U.S. Citizenship and Immigration Services. Dr. Afuwape earned his medical degree at Meharry Medical College, completed his emergency medicine residency at Mercy St. Vincent Medical Center in Ohio, and brings more than fifteen years across emergency medicine, critical care, and flight medicine to the examination room.
“An immigration exam is a medical appointment first and paperwork second. Patients deserve to understand what is being tested and why, not simply to be handed a sealed envelope on the way out.” – Lukuman Afuwape, MD
I highly recommend this urgent care. My dad recently had his immigration medical exam done by Dr. Afuwape. Incidentally, they found out that my dad had an underlying pulmonary infection/ edema. They went above and beyond and helped my dad get well by prescribing the necessary medications. Special mention to Lena who helped my dad with his X-ray appointments and to Malik that helped with my dad’s prescriptions.
Immigration Medical Services in Richmond, Texas
- I-693 Immigration Medical Examination: the physical examination and vaccination record USCIS requires from most applicants for lawful permanent residence.
- N-648 Medical Certification for Disability Exceptions: the clinical evaluation supporting a naturalization applicant’s request for an English or civics testing exception.


What to Bring to Either Appointment
- Photo Identification: a government issued ID such as a passport, permanent resident card, or driver license.
- Vaccination Records: every immunization record you can locate, including documents issued outside the United States.
- Immigration Paperwork: your USCIS forms, receipt notices, and A number if one has been assigned.
- Medical Records: documentation of any ongoing condition, along with a current list of medications.
Missing records rarely stop an appointment, though they can extend the timeline while titer testing or specialist documentation is obtained.
Support Through Every Step of the Process
Immigration appointments carry a weight that ordinary medical visits do not, since the outcome connects to a family’s status rather than only to their health. Spanish speaking support is available, immunizations that turn out to be missing can frequently be administered during the same visit, and the clinic’s Monday through Saturday schedule means applicants working full time rarely need to take a day off to complete their examination. Forms are completed and sealed to USCIS specifications before they leave the building. titer testing to verify immunity.
Why Choose Urgent Care Plus & Wellness?
- USCIS-Designated Civil Surgeon: exams performed by a physician board certified in emergency medicine by the American Board of Emergency Medicine.
- Both Forms, One Physician: I-693 and N-648 evaluations completed by the same civil surgeon.
- Vaccines Available Same Visit: missing immunizations can frequently be administered during the same appointment.
- Sealed, USCIS-Compliant Documentation: forms completed and sealed to USCIS specifications before you leave.
- Spanish-Speaking Support: available for appointments.
- Monday Through Saturday Scheduling: applicants working full time rarely need to take a day off.
Schedule an Immigration Medical Evaluation in Richmond, TX
Urgent Care Plus and Wellness serves applicants and families throughout Richmond, Rosenberg, Sugar Land, Mission Bend, Pecan Grove, Cinco Ranch, Katy, Missouri City, and the surrounding Fort Bend County communities from its office at 20711 Bellaire Blvd Suite B. Whether the next step in your case is an I-693 examination or an N-648 evaluation, the team can confirm which form applies, explain what to bring, and schedule the visit. Call (281) 762-2208 or book an appointment online to get the medical portion of your application behind you.
Immigration requirements vary by individual case. A medical evaluation does not guarantee eligibility, approval, or acceptance by USCIS.
