USCIS-designated Civil Surgeon services run out of Family Medical Care at 1807 Robinson Ave Suite 107 in Hillcrest, an osteopathic family practice established in 1996 and serving English, Lao, Thai, Vietnamese, and Tai Lue-speaking patients. Immigration medical exams complete the Form I-693 workflow covering physical exam, USCIS-required vaccination review, TB screening, syphilis and gonorrhea labs, and chest imaging referrals to Imaging Healthcare Specialists - Hillcrest when initial IGRA testing returns positive. Same-day appointments handle K-visa holders and adjustment-of-status applicants, with sealed I-693 envelopes returned typically within three to fourteen days of a clean workup. HIV testing history, hepatitis B surveillance, and catch-up immunizations for applicants lacking prior records coordinate with public-health-adjacent partners including AHF Wellness Center - San Diego. Beyond civil surgeon work, the practice provides osteopathic manipulative treatment, routine primary care, and family medicine visits for patients of all ages. The most intricate cases involve applicants with incomplete foreign vaccine records, prior TB treatment histories, or waiver-eligible conditions that require documented Class A or Class B condition classification on the final I-693.