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All right, everyone,
welcome back to Urgent Care Unscripted.

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I'm Barbara,

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an alternate director of operations at AFC
Urgent Care in West Haven. Hi.

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And this is Mohamed Salah.

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And I'm the franchisee of Urgent care
in West Haven.

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Today we are here to talk about
immigration, physical

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and how important it is
and what role does it play

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in the overall immigration process.

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Joining us today

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we have Kara Hart, a seasoned
immigration lawyer who has been practicing

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in Connecticut for over 20 years
with a deep commitment

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to helping families immigrate, 
basically navigate through the U.S.

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immigration system.

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Kara specializes in family
based immigration.

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Guiding her clients through sponsorship.

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All the way through U.S. citizenship.

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Welcome, Kara.

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We also today have Doctor Felix today.

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He's our medical director, and he is also
our USCIS designated civil surgeon.

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Welcome, doctor. Felix.

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Thank you. Happy to be here.

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I look forward to answering some common

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clinical questions
regarding the immigration system.

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Awesome. Let's start with the basics.

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At what point in the immigration process
should applicants

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complete
their immigration physicals? Kara.

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I'm a civil servant.

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Can easily be found online via the,

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USCIS search option.

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And basically a civil surgeon,
an experienced physician,

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at least four years down
the Goshen application process.

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And we are, designated the responsibility
to complete the Isaac's name to,

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to ensure that an immigrant is,

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medically able to,

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enter the United States or remain
in the United States.

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Awesome.

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And, question for, 
Kara, when the process starts,

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how does the actual application
of the Isaac's entry form happen?

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What does the applicant do at that point?

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At AFC Urgent Care, we have designated

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immigration process to be smooth
and straightforward for applicant.

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So, doctor Felix, can you explain to us

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what kind of tests
we do during these applications?

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So we first consider what

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the immigration physical
is supposed to do.

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In general, it protects the US population

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from infectious, contagious disease.

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So a good part of it has to do with,
you know, building those out,

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making sure the individual
has the appropriate vaccinations.

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And does it have signs?

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Let's see, I uses, syphilis and such.

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That information is,

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very easily,
available on the USGS website.

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They can see all the requirements
in terms of vaccinations,

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you know, seasonal flu vaccination
requires.

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Covid is no longer required.

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But several vaccinations,
depending on your age

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and screening for packets for two doses
can be a syphilis, depending on your age.

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As well as a physical exam
to ensure there's no signs of

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active illness.

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Are there any recent changes
in the policy of immigration that.

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Cara, you can elaborate to us about.

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Change in.

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Senator Felix, I have a question for you
in regarding to the application,

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you've mentioned that patients
do require to get some vaccines done.

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What happens
if they don't have those records?

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So we can do a medical screening

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for titers, actually do lab tests to test
whether or not

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you have sufficient antibodies
that will be done in the room.

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And if they aren't, you, getting
those vaccinations would not be required.

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You know, oftentimes
people come from other countries and,

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you know, records are incomplete. You,

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which sometimes in a different language.

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And it's important
to do an English translation of records

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because the, so we're searching for

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the authors should be responsible for

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understanding
what the, origin vaccinations are.

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Barbara, from Francis perspective,
we often hear, clients

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or patients
coming in for the patient physical,

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and they're in a rush because
they have come to us in the last minute.

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Yes. And,
although the process could take 3 to

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4 weeks now,
they want to do that as soon as possible.

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What kind of, patients do to make
the process really go as fast as possible?

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How can they prepare themselves
and help make the process faster?

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Absolutely.

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So making sure you have
all of your medical records

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ahead of time is a great way
to speed that process.

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Unfortunately, that can't be true
for every single patient.

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So what we do have, to do it

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at the clinic, like Doctor Felix said, is
we have to do the titers for the patient.

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So there are some blood works
that just take longer.

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And if you want to eliminate that,
we can always give the patients

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a booster vaccine just to make sure that
they are up to date with their vaccines.

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As long as the medical provider,
Doctor Felix in this case is an agree

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agreed with, that
And then there are the also, places

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where people go for immigration, physical
that do not always have

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an English, immigration
physical surgeon on site.

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Those,
in, concern for people who are applying

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Well, the USCIS website lists
the civil surgeons.

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You have to make sure they actually be
seen by who search of record.

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That would be a

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problem both for the applicant
and for the civil surgeon.

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There's an annual certification,
you know, checking process.

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So the substance of the sign,
the paperwork,

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that signature has to be
the civil search is not someone else's.

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And, you know, there could be other issues
down the line, but in general,

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want to make sure that the person signing
an exam is the actual signature.

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I think Kara, for, 
also for this episode, you had some,

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final, points that you wanted, all of
our listeners to, be careful about.

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And be mindful
of as they go through the process.

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If you want to expand on your,
summary piece.

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That's great.

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And just with that,

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would you advise, people
that are eligible to apply right away?

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How long does the process typically take?

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From start to finish?

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One thing I would add

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is the process, for the immigration
physical, can be fairly quick.

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That would require at least two visits.

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One, because a quantum field test,
which is a blood test

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for tuberculosis,
has to be done on every patient.

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And that would require a wait
time to get those results.

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And then the subsequent visit,
after for the description

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and to ensure that there's not being,
positive on that testing.

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And if it were positive,
give me a chest X-ray done as well.

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So it's always at least two visits
for the patient is good.

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But that can be, you know, the second
visit could potentially be, some days.

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So we apart.

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is it important for the patients
or your clients doctor care.

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Scary to provide all documentation
for their applications.

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Right away.

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Or should they kind of gather that as, as
they go through the application process?

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You need to.

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This has been so valuable,
and I'm sure our patients

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would really appreciate, us going through
that immigration process for them.

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And thank you for, all thank you, Karen,
and thank you

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all to our viewers
for watching this episode.

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We welcome you to Urgent Care Unscripted,

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and please subscribe and look forward
to our next episode coming soon.

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And if you have any questions, feel free
to send us those questions.

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You can email us at West Haven team at AFC
Urgent care.com.

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And you can also come visit us at 350
for Sawmill Road in West Haven.

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Like we mentioned before,

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we do immigration physicals here
and you can get it done starting today.

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So there's no need to wait with us.

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Thank you.

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Take care of us.