nexs medical houston dot exam immigration medical exam physical

Immigration Medical Exam

A Form I-693 immigration medical exam is necessary for specific immigration benefits, whereas a DOT physical is designed to confirm that commercial drivers meet federal safety regulations. These exams serve different purposes and have distinct requirements.

Immigration Medical Exam (Form I-693):

  • Purpose: Evaluates whether an applicant meets U.S. health standards for admissibility.
  • Who Needs It: Individuals seeking a green card or other immigration-related benefits.
  • What to Expect: A thorough medical assessment, including a review of medical history, a physical exam, and screenings for communicable diseases such as tuberculosis, syphilis, and gonorrhea.
  • Conducted By: A designated civil surgeon authorized by the U.S. government.
  • Documentation: Results are recorded on Form I-693 and submitted to USCIS as part of the application process.
  • Vaccination Requirements: Applicants must provide proof of required vaccinations or undergo testing for vaccine-preventable illnesses.

DOT Medical Exam

Purpose: Verifies that commercial drivers are physically fit to safely operate a commercial motor vehicle.

Who Needs It: Individuals applying for or renewing a Commercial Driver’s License (CDL).

What to Expect: A detailed medical evaluation, including a review of medical history, a physical examination, and possible tests for specific health conditions.

Conducted By: A certified medical examiner (CME) authorized by the Department of Transportation.

Requirements Checklist : https://nexsmedical.com/wp-content/uploads/2025/10/DOT-EXAM-REQUIREMENTS.pdf

Our Services

houston nexs medical doctor treating patient accurate diagnosis medication instruction

Annual Wellness Visit

If you’re covered by Medicare, you’re eligible for a fully covered comprehensive wellness exam—available in person or virtually. Prioritizing preventive care today can help you stay healthier for the long run!

Chronic care management

As we age, certain health conditions may require more focused care. Our team provides expert support in managing chronic conditions such as diabetes, hypertension, COPD (chronic obstructive pulmonary disease), and congestive heart failure, ensuring you receive the specialized attention needed to maintain your health and quality of life.

Coordination for your specialty care

When specialized care is needed, we connect you with experts who have advanced training in specific medical fields. While your specialist focuses on diagnosing and treating your condition, our team stays involved—ensuring seamless coordination and keeping your personalized care plan on track.

Walk out with your prescription

At NEXS MEDICAL, you can walk out with your prescription in hand after your primary care visit, making it easy to get the medication you need quickly.

WHAT WE OFFER

BOARD CERTIFIED FAMILY MEDICINE

Pulmonary Function Test Procedure

A pulmonary function test (PFT) measures lung function by having you breathe into a mouthpiece connected to a machine. The technician will guide you through different breathing patterns, allowing the machine to measure the volume and speed of your exhaled air.

doctor giving pulmonary function test procedure patient lungs

Allergies Diagnostics

Several allergy tests can pinpoint specific triggers. These include:

  • Skin Tests:
    • Prick Test: A small amount of allergen is pricked into the skin. A raised bump (welt) indicates an allergy.
    • Scratch Test: A drop of allergen is scratched onto the skin. Redness or a welt suggests an allergy.
    • Patch Test: Allergen-containing tape is applied to the skin for 24-48 hours. Redness, itching, or a raised area indicates an allergy.
  • Blood Tests:
    • Allergen-Specific IgE Test: Measures IgE antibodies in the blood specific to certain allergens. High levels suggest an allergy.
    • RAST (Radioallergosorbent Test): A similar lab-based test for IgE antibodies.

Diagnosis of Diabetes

Diabetes is diagnosed through blood sugar tests. You may be diagnosed with diabetes if:

  1. Your fasting blood sugar is 126 mg/dL (7 mmol/L) or higher on two separate tests. (Fasting Plasma Glucose Test)
  2. Your blood sugar is 200 mg/dL (11.1 mmol/L) or higher two hours after drinking a sugary drink. (Oral Glucose Tolerance Test)
  3. Your A1C level is 6.5% or higher on two separate tests. (A1C Test)

houston a1c testing diabetes diagnosis

Hypertension Diagnosis

Hypertension (high blood pressure) is diagnosed through several factors:

  • Blood Pressure Readings: A systolic pressure (top number) of 140 mmHg or higher, or a diastolic pressure (bottom number) of 90 mmHg or higher, measured multiple times on different days.
  • Other Risk Factors: Family history, age, race, lifestyle (smoking, obesity, inactivity).
  • Symptoms: Headaches, dizziness, or shortness of breath (though often there are no symptoms).
  • Tests: An ECG, echocardiogram, blood tests (kidney, thyroid), or imaging may be used to rule out other causes.

Blood Pressure Categories:

  • Stage 1: 130-139/80-89 mmHg
  • Stage 2: 140/90 mmHg or higher
  • Hypertensive Crisis: 180/120 mmHg or higher

Regular blood pressure checks are essential, as hypertension is often asymptomatic. See a healthcare professional if you have concerns.

high blood pressure hypertension systolic diastolic

Lung and Liver Diseases Diagnosis

Diagnosing lung and liver diseases often involves a combination of tests:

  • Blood Tests:
    • Liver function tests (LFTs): Check how well your liver is working.
    • Arterial blood gas (ABG): Measures oxygen levels in your blood to assess lung function.
    • Alpha-1 antitrypsin (AAT) levels: Help understand liver function.
  • Imaging Scans:
    • CT scan: Can detect lung cancer and liver metastases (spread).
    • MRI: Can monitor liver metastases.
    • PET scan: Uses a special dye to find liver metastases.
    • Ultrasound: Can show liver damage.
  • Other Procedures:
    • Pulse oximetry: Measures blood oxygen levels.
    • Thoracentesis: Tests fluid around the lungs.
    • Open lung biopsy: Helps diagnose lung problems.
    • Laparoscopy: Helps diagnose liver or other abdominal problems.
  • Other Tests:
    • Pulmonary function tests (PFTs): Measure lung function.
    • Exercise stress test: Checks heart and lung function.

Electrocardiogram (EKG/ECG)

An electrocardiogram (EKG/ECG) is a painless, noninvasive test that records your heart’s electrical activity. It’s used to diagnose irregular heartbeats, chest pain, and other heart-related problems like shortness of breath, dizziness, or fainting. It can also assess overall heart health, pacemaker function, and the effectiveness of heart medications.

An EKG (electrocardiogram) is a simple, painless test that records the electrical signals in your heart. Doctors use EKGs to:

  • Diagnose irregular heartbeats (arrhythmias)
  • Find the cause of chest pain
  • Evaluate heart-related symptoms like shortness of breath, dizziness, or fainting
  • Check your heart’s overall health before procedures
  • See how well a pacemaker is working
  • Determine if heart medications are effective

electro cardiogram service houston nexs medical irregular heartbeat chest pain

Gastrointestinal (GI) Diseases Diagnosis

Diagnosing GI diseases involves a combination of:

  • Medical History: Your doctor will ask about your symptoms (when they occur, what makes them worse, etc.).
  • Physical Exam: Your doctor will examine your abdomen, listen to your bowel sounds, and check for any abnormalities.
  • Diagnostic Tests:
    • Blood Tests: Liver tests, blood counts, genetic tests.
    • Stool Tests: Tests for blood, infection, inflammation, or abnormal bacteria.
    • Imaging Tests: X-rays, ultrasounds, CT scans, MRIs, barium swallow studies.
    • Endoscopic Procedures: Upper GI endoscopy, colonoscopy, capsule endoscopy, ERCP.
    • Breath Tests: To diagnose stomach bacteria, digestion problems, etc.

Specialists: A gastroenterologist specializes in GI disorders. Other specialists may include nurse practitioners, physician assistants, nutritionists, dietitians, radiologists, and surgeons.

Well Woman Exam

A well-woman exam typically includes:

  • Medical History: Review of your health conditions, medications, and family history.
  • Physical Exam: Checking your vital signs (blood pressure, heart rate, temperature), height and weight, and examining your head, neck, lungs, heart, abdomen, and skin. A breast exam may also be performed.
  • Pelvic Exam (if sexually active): A Pap smear to screen for cervical cancer and an exam to check your uterus, ovaries, and cervix.
  • Other Tests: Blood tests (for anemia, thyroid function, cholesterol, etc.) and a mammogram (if appropriate).
  • Counseling: Discussions about STI screening, birth control, nutrition and exercise, mental health, and menopause management (if applicable).

nexs medical clinics houston well woman exam

Sports Medicine

Sports medicine focuses on preventing, diagnosing, treating, and rehabilitating injuries related to sports and physical activity.

Sports Medicine Specialties:

  • Orthopedics: Surgical treatment of injuries (e.g., torn ligaments, meniscus tears).
  • Athletic Training: Injury prevention, management, and performance enhancement.
  • Exercise Physiology: Designing exercise programs for strength and performance improvement.

Sports Medicine Treatments:

  • Cartilage regeneration: A treatment option for chronic knee pain that may delay or eliminate the need for joint replacement.
  • Joint replacement surgery: Replacing a damaged joint with an artificial one.

Common Sports Injuries:

  • Tendonitis (e.g., tennis elbow, golfer’s elbow)
  • Shin splints
  • Bursitis
  • Ankle, knee, or shoulder injuries
  • Concussions

Sports medicine physicians are experts in treating the musculoskeletal system (bones, muscles, joints, tendons, ligaments, and connective tissues).

STD Testing

STD testing can involve blood tests, urine tests, swabs, and physical exams, depending on the suspected infection.

  • Blood Tests:
    • HIV
    • Syphilis
    • Hepatitis B and C
  • Swab Tests:
    • Chlamydia (swab or urine)
    • Gonorrhea (swab or urine)
    • Trichomoniasis
  • Urine Tests:
    • Chlamydia
    • Gonorrhea
  • Physical Exams:
    • HPV (genital warts)
    • Trichomoniasis
  • Other Tests:
    • Lumbar puncture (spinal tap)
    • Pap smear (for cervical cell changes)

The right test depends on your risk factors and sexual history. Talk to a healthcare provider for personalized advice and testing.

Skin Problems

Skin problems are common and can range from minor irritations to serious conditions. Some common examples include:

  • Acne: Clogged pores, inflammation, and pimples.
  • Eczema (atopic dermatitis): Dry, itchy, red skin.
  • Psoriasis: Scaly, thickened skin that can be painful and inflamed.
  • Rosacea: Facial redness, flushing, and visible blood vessels.
  • Skin cancer: Abnormal, potentially cancerous skin growth.
  • Fungal infections: Rashes, itching, and scaling caused by fungi.
  • Viral infections: Rashes, blisters, and sores caused by viruses.
  • Moles: Common, usually harmless skin growths.

skin problem treatment acne eczema skin cancer

Immunizations (vaccines)

Immunizations (vaccines) protect you from serious diseases. The CDC recommends staying up-to-date on your shots.

Types of Vaccines:

  • Inactivated
  • Live-attenuated
  • mRNA
  • Subunit, recombinant, polysaccharide, and conjugate
  • Toxoid
  • Viral vector

Recommended Vaccines (Talk to your doctor about which ones are right for you):

  • Flu
  • COVID-19
  • RSV (Respiratory Syncytial Virus)
  • Pneumococcal
  • Shingles
  • Whooping cough (Pertussis)

houston immunizations nexs medical flu shot covid vaccine

Minor Surgeries

Minor surgeries are low-risk procedures typically done in a doctor’s office, urgent care, or walk-in clinic. They’re often quick, and you can usually go home the same day.

Common Minor Surgeries:

  • Mole, cyst, or benign tumor removal
  • Minor dental procedures (fillings, extractions)
  • Incision and drainage of sores
  • Foreign object removal from skin
  • Circumcisions
  • Laceration repair (stitches or glue)
  • Abscess drainage
  • Joint injections
  • Biopsies

Venous Doppler Ultrasound

A venous Doppler ultrasound is a non-invasive test that uses sound waves to look at the blood flow in your veins. Doctors often use it to:

  • Diagnose deep vein thrombosis (DVT), a blood clot in a deep vein, usually in the leg.
  • See how severe a DVT is.
  • Check if DVT treatment is working.
  • Look for varicose veins (enlarged, twisted veins).
  • Evaluate blood flow before surgery or other procedures.

nexs medical houston venus doppler ultrasonography dvt

Arterial Doppler Ultrasound

An arterial Doppler ultrasound is a non-invasive test that uses sound waves to examine the blood flow in your arteries. It’s used to identify blockages, narrowing, or other abnormalities that might be affecting circulation. Here’s how it works:

  1. You’ll lie on a table.
  2. A technician will apply a handheld device (transducer) to your skin over the artery being examined.
  3. The transducer sends out sound waves that bounce off your red blood cells.
  4. A computer analyzes these reflected waves to create images of your blood flow, showing its speed, direction, and volume.

Joint Injections

Joint injections deliver medication directly into a joint to relieve pain, inflammation, and other symptoms.

Types of Joint Injections:

  • Corticosteroid injections: Reduce inflammation and pain with steroids.
  • Hyaluronic acid injections: Add lubricating fluid to the joint, reducing friction and pain.
  • Platelet-rich plasma (PRP) injections: Use your own blood’s platelets to promote healing.
  • Stem cell injections: Use stem cells to try to repair damaged tissue.

dr xin wang knee injection pain relief bellaire nexs medical

Physical Therapy

Physical therapy uses various treatments to improve movement, reduce pain, and strengthen muscles. These include:

  • Exercise: Improves range of motion, flexibility, and strength.
  • Manual therapy: Hands-on techniques to improve range of motion, reduce pain, and promote healing.
  • Electrical stimulation: Uses electrical impulses to strengthen muscles and reduce pain.
  • Ultrasound: Uses sound waves to promote healing, reduce pain, and improve blood flow.
  • Heat and cold therapy: Helps manage pain.

Physical Therapy

EMG and Nerve Conduction Test

Electromyography (EMG) and nerve conduction studies are tests that measure the electrical activity of your muscles and nerves. They help find problems that cause muscle weakness, paralysis, or twitching.

  • EMG: Measures muscle activity at rest and during contraction. Helps identify muscle disorders and determine if weakness is due to pain or psychological factors.
  • Nerve Conduction Study: Measures how fast electrical signals travel through your nerves. Helps detect nerve damage. Uses mild electrical shocks to stimulate nerves.

Preparation: Wear loose clothing, clean skin (no oils or lotions), and tell your doctor about all medications and supplements.

Risks: Both tests are low-risk, but there’s a small chance of bleeding, infection, nerve injury, or a collapsed lung (from the needle insertion in the EMG).

Results: Abnormal results may suggest a muscle or nerve problem. These tests help your doctor diagnose the issue and create a treatment plan.

ABI Tests for Vascular Diseases

The ABI (ankle-brachial index) test compares blood pressure in your arms and ankles to see how well blood is flowing in your legs. It’s a non-invasive test used to diagnose peripheral artery disease (PAD) and assess your risk for other cardiovascular events. Here’s what happens:

  1. You’ll lie on your back.
  2. A technician will take your blood pressure in both arms and both ankles.
  3. They’ll also use an ultrasound device to listen to the blood flow in your arteries.
  4. The technician will use the blood pressure readings to calculate your ABI.

An ABI below 0.9 may suggest PAD. The lower the number, the more severe the blockage. A low ABI can be a warning sign of a higher risk of heart attack, stroke, and poor circulation.

Knee Lubrication Injections

Knee lubrication injections (viscosupplementation or rooster comb injections) use hyaluronic acid to treat knee pain and improve joint function, especially from osteoarthritis. Hyaluronic acid helps replace what’s lost with age, lubricating the joint and reducing pain and swelling. A doctor injects the hyaluronic acid into your knee, and the injections can be repeated every six months or so. Rest your knee for 24 hours afterward. Most people feel relief within a few days, but it can take a week or two for full effect. Some insurance plans cover these injections, but often only for the knee.

nexs medical xin wang knee lubrication injection

Get started with NEXS Medical

BOOK AN APPOINTMENT

NEXS Medical

About Us

Providers

Our Services

Our Locations

Review Us

Our Company

Medical Forms

Insurance Accepted

Compliance & Privacy

Terms & Conditions

Want to work with us?

Careers

Follow Us!

Instagram logo linked to Nexs Medical PageFacebook logo linked to NEXS Medical accountYoutube logo linked to NEXS Medical shorts channelTiktok logo leading to Nexs Medical's official account

NEXS Medical LOGO