Before Your Visit
What to Bring
Come prepared with the following to ensure a smooth appointment and timely I-693 form processing.
Immigration physicals, FAA exams, corporate wellness, and MVA physicals in Gaithersburg, MD.
Occupational health
Montgomery Medical Clinic provides a full range of occupational health services led by Dr. Efraim Kessous, MPH — a USCIS-authorized civil surgeon, FAA Senior Aviation Medical Examiner, and board-certified occupational medicine physician.
Immigration
Dr. Efraim Kessous — USCIS Authorized Civil Surgeon
If you're applying for a green card, USCIS requires a medical examination and Form I-693 completed by an authorized civil surgeon. The exam screens for communicable diseases and verifies your vaccinations per CDC technical instructions.
Immigration Physicals & I-693 Guide Full I-693 exam process, required vaccinations, what to expect at each visit, and answers to common questions — all in one dedicated page. View Immigration Physicals GuideBefore Your Visit
Come prepared with the following to ensure a smooth appointment and timely I-693 form processing.
After Your Exam
If all test results come back normal, expect a call within 1–2 weeks to collect your signed and sealed I-693 paperwork. Submit the sealed envelope to USCIS with your Form I-485 application.
Resources
Official links to help you prepare for your immigration medical exam and understand the requirements.
Authorization
Dr. Efraim Kessous is listed in the official USCIS civil surgeon directory and is fully authorized to conduct I-693 medical examinations in Maryland. All exams follow the latest CDC and USCIS protocols.
Aviation
Dr. Efraim Kessous — Senior Aviation Medical Examiner (AME)
The Federal Aviation Administration requires all pilots to pass a medical examination with an authorized Aviation Medical Examiner (AME). The exam evaluates your physical and mental fitness to operate an aircraft.
FAA Pilot Resource Center Pre-visit checklist, medical certificate classes, medication lookup, CACI condition worksheets, and guidance for new & returning pilots — all in one page. Open Pilot Resource CenterCertificate Classes
All pilots need a valid FAA medical certificate. The class depends on how you fly.
Before Your Visit
Complete your FAA MedXPress form before your appointment. Expect hearing, vision, and urine tests, plus an ECG for first-class certificates.
Renewals
Frequency depends on your certificate class and age — ranging from every 6 months to every 60 months. See the FAA medical certification FAQ for details.
Partner program: Montgomery Medical Clinic is proud to work with the Washington International Flight Academy in Washington, DC — providing FAA physicals for their student and professional pilots.
Employers
Dr. Efraim Kessous, MPH — Board-Certified Occupational Medicine Physician
Montgomery Medical Clinic partners with businesses across Maryland to deliver comprehensive occupational health and workplace wellness programs. Our services follow OSHA medical surveillance standards and are fully tailored to your industry's requirements.
Corporate Health Services Pre-employment physicals, OSHA surveillance programs, workers' comp care, respirator fit testing, drug screening, and on-site wellness — everything your business needs in one dedicated page. View Corporate Health ServicesPre-Employment
Thorough pre-hire examinations and drug testing that ensure new team members are ready for the demands of their specific roles — so every employee is safe and fit for duty from day one.
Workplace Injury
Compassionate care for on-the-job injuries with a clear clinical path to recovery, following Maryland WCC guidelines.
On-Site Services
Bring healthcare directly to your workplace with seasonal flu shots, health screenings, and quick check-ups — keeping your team healthy with minimal time away from work.
Recovery
Comprehensive evaluations confirming employees are physically ready to resume their duties after illness or injury, with clear documented clearance aligned with job requirements.
Compliance & Prevention
OSHA-compliant surveillance protocols and CDC-recommended vaccinations for corporate, laboratory, and pharmaceutical environments with biological or chemical hazards.
Why businesses choose us: Flexible scheduling for teams of any size, clear and timely reporting for HR and insurers, and a single physician-led point of contact for all your workforce health needs.
Driver licensing
Dr. Efraim Kessous — Licensed Physician
If you've been charged with a DUI, the Maryland Motor Vehicle Administration (MVA) may require a physical examination with a licensed physician before your driving privileges can be reinstated.
Requirements
Dr. Kessous conducts DUI physical evaluations in accordance with Maryland MVA medical requirements. The exam reviews your physical and mental fitness to safely operate a motor vehicle.
Scheduling
MVA physicals are scheduled by phone. Call our office and we'll find a time that works for you so you can get your paperwork completed and submitted promptly.
Common questions about our occupational health services.
Still have a question? Call (301) 208-2273 or text us.
We provide a full suite of occupational health services for individuals and employers in the Gaithersburg, MD area:
Yes, we provide workplace drug testing including:
Contact us at (301) 208-2273 for details.
We recommend scheduling an appointment for the fastest service, but walk-ins are also accepted.
Call (301) 208-2273 or book online to reserve your spot.
Yes! We have an FAA-authorized Aviation Medical Examiner (AME) on staff who performs Class 1, Class 2, and Class 3 FAA medical exams for pilots and aviation professionals.
Visit our FAA Physicals page for full details.
Book online or call us to set up your appointment.