Medical Clearance in Queens, NY – DOT, Immigration, FAA, Sports & Pre-Op

This page gathers the most current guidance on every major kind of “medical clearance,” from international travel to pre-op surgery. Same-day medical clearance in Queens, NY—DOT, I-693, FAA, sports & pre-op. Medex Diagnostic & Treatment Center, Forest Hills. Book online or walk-in.

What Is Medical Clearance?

“Medical clearance” is a written statement—usually from a licensed physician or an examining agency—confirming that a person’s current health status meets the medical requirements for a specific activity, posting, or procedure. Typical use-cases include:

ScenarioTypical IssuerWhy It Matters
Overseas assignment (U.S. Department of State)Bureau of Medical Services (MED)Access to federal health-care benefits and safe placement abroad U.S. Department of State
Pre-operative evaluationTreating physician; sometimes anesthesiology or internal-medicine consultantReduces peri-operative complications by matching patient risks to surgical plans American College of Physicians
Respirator use at workEmployer’s designated health-care professional (per OSHA)Ensures workers can safely tolerate respirator use and comply with 29 CFR 1910.134 OSHA
Pre-travel health checkTravel-medicine clinic following CDC Yellow BookImmunizations, prophylaxis, and contingency planning for destination-specific risks CDC

Government & Foreign-Service Clearances

The U.S. Department of State assigns a medical-clearance class to every employee or eligible family member posted abroad:

  • Class 1 (Worldwide Available). No limitations on assignment location.
  • Class 2 (Limited Availability). Specific conditions limit assignment to posts with adequate medical resources.
  • Class 5 (No Clearance). Generally disqualifying conditions for overseas service.

Full definitions appear in the Foreign Affairs Manual 16 FAM 210 Foreign Affairs Manual. Employees with Class 2 status must secure MED approval for each proposed posting. If you or a family member fall into this category, apply at least 90 days before projected travel to allow for additional review.

Pre-Travel Medical Clearance

CDC recommends a pre-travel consultation 4–6 weeks before departure to align immunizations, malaria prophylaxis, and contingency medications with the traveler’s health profile and itinerary CDC. Key steps:

  1. Risk Stratification – Review destination-specific outbreaks, altitude, food-borne illness, and accessibility of care.
  2. Immunizations & Labs – Verify routine vaccines; consider Yellow Fever, Japanese Encephalitis, or Rabies where indicated.
  3. Written Fit-to-Travel Letter – Especially important for passengers with chronic illnesses needing airline oxygen waivers or extra medication supplies.

Occupational Medical Clearance (OSHA)

Under OSHA’s Respiratory Protection Standard, employers must provide a confidential medical evaluation before an employee wears a negative-pressure or tight-fitting respirator. The evaluation uses Appendix C’s mandatory questionnaire or an equivalent in-person exam. Repeat clearance is needed if:

  • A change in respirator type increases physiologic burden.
  • The employee reports symptoms such as dizziness or shortness of breath.
  • A medical provider, supervisor, or respirator-program admin requests re-evaluation.

Reference: OSHA 3790 and 29 CFR 1910.134 App C OSHAOSHA.

Pre-Operative (Surgical) Medical Clearance

Recent ACP perioperative updates (2024) highlight:

  • Cardiac Risk Tools – Use Revised Cardiac Risk Index or ACS NSQIP to stratify major-adverse-cardiac-event (MACE) risk.
  • Medication Management – Coordinate antiplatelet and anticoagulant interruption with both surgeon and cardiologist.
  • Frailty & Cognitive Screening – Gait-speed or MMSE scores predict post-op delirium and longer recovery trajectories.

Patients should bring all medication lists, prior surgical histories, and recent lab or imaging results to streamline clearance on the same day. American College of Physicians

Looking for “medical clearance near me”?
Medex DTC is the only multi-specialty clinic on Queens Blvd (111-29) offering DOT physicals, immigration exams, pilot medicals, school sports physicals, and pre-op clearances under one roof—minutes from Rego Park, Kew Gardens, and the Grand Central Pkwy.

Standard Clearance Workflow at Medex Diagnostic & Treatment Center (Queens, NY)

  1. Schedule Appointment – Same-week slots via phone or online portal.
  2. Pre-Visit Intake – Secure upload of prior records, employer or government forms, and itinerary (if travel).
  3. On-Site Evaluation – Vitals, focused physical exam, labs, ECG, or spirometry as required.
  4. Result Turnaround – Most forms completed within 24 hours; expedited service available.
  5. Follow-Up – If additional testing or specialty referral is needed, our in-house cardiology, pulmonology, and travel-medicine teams coordinate next-day consultations.

Book your clearance now: Primary Care Doctor Queens, NY

Local Medical Clearance Services at Medex Diagnostic & Treatment Center (Forest Hills, Queens, NY)

Clearance TypeWhat It’s ForCore Form / StandardTurn-around @ MedexTypical ValidityKey Local Keywords
DOT / CDL & TLC Driver ExamsCommercial drivers (FMCSA) and NYC Taxi & Limousine Commission renewalFMCSA Forms MCSA-5875/5876; TLC “Medical Certification” addendumSame-day electronic upload to National Registry; hard copy before you leaveUp to 24 mo (may be shorter for hypertension, sleep apnea)“DOT physical Queens”, “TLC medical exam Forest Hills” nationalregistry.fmcsa.dot.govWorkforce QAmedexdtc.com
Immigration (I-693)Adjustment-of-Status / Green-Card applicantsUSCIS Form I-693 signed by Civil SurgeonLabs drawn onsite; sealed packet ready in 3–5 days (48 h rush available)Form must be submitted within 60 days of signature; good for 2 years“immigration medical exam Queens NY”, “civil surgeon near me” USCISUSCISEl País
FAA Pilot Medical (Class 1-3)Pilots, ATC specialistsFAA MedXPress + AME signatureAppointments Tue/Thu evenings; certificate printed same dayClass 1: 6-12 mo; Class 2: 12 mo; Class 3: 24-60 mo (age-based)“FAA AME Queens”, “pilot medical exam NYC” Federal Aviation AdministrationFederal Aviation Administration
School & Sports PhysicalsNYSED enrollment; interscholastic athleticsNYSED Health Exam Form; Interval HistoryWalk-ins welcome; form completed during visit12 months (sports), next mandated grade“sports physical Queens”, “school physical Forest Hills” NYSED P-12NYSED P-12
Pre-Op Surgical ClearanceElective surgery hospitals in NYCFacility-specific packet + ACP peri-op check listECG, labs, imaging onsite; faxed to surgeon within 24 h30 days (sometimes 7 days for cardiac)“pre-op medical clearance Queens”
Respirator / OSHA ClearanceEmployees using N95 / tight-fit respiratorsOSHA 29 CFR 1910.134 Appendix CElectronic questionnaire + BP, pulse oximetry; letter in < 24 hRe-eval if job or health status changes“respirator clearance Queens”
Pre-Travel Fit-for-FlightLong-haul passengers, missionary tripsMD letter + vaccination recordYellow-book consultation + vaccines in one sessionRecommend 4–6 weeks before travel; letter valid 6 mo“travel vaccine clinic Queens”

Languages spoken: English, Spanish, Russian, Uzbek, Mandarin.
Service area: Forest Hills, Rego Park, Kew Gardens, Jamaica, Elmhurst, Flushing, Brooklyn & Long Island.
Hours: Mon–Fri 9 am-8 pm, Sat 9 am-6 pm. Same-day and walk-ins welcome.
Directions: Steps from E/F/M/R subway (Forest Hills-71 Av); LIRR Forest Hills station; paid garage next door and metered street parking.


Definitions & What to Bring

  • DOT / TLC Driver Physical – A federally mandated exam ensuring drivers are free of conditions (e.g., uncontrolled diabetes, vision below 20/40) that could impair road safety. Bring photo ID, medication list, last A1c (if diabetic), recent sleep-study CPAP log (if applicable).
  • USCIS I-693 Exam – Screens for tuberculosis, syphilis, gonorrhea and verifies CDC-specified vaccinations. Bring a government ID, immunization card, and I-485 receipt if already filed. USCIS now rejects I-485 packets mailed without the sealed I-693 (rule effective Dec 2 2024). El País
  • FAA Medical Certificate – Class 1 for ATP pilots, Class 2 for commercial/air taxi, Class 3 for private pilots. Vision, ECG (age ≥ 35 for Class 1), urine, and detailed review of cardiovascular, neuro, psych history.
  • NY School/Sports Physical – NYSED requires new entrants and grades K, 1, 3, 5, 7, 9, 11; sports every 12 months. Parents should bring the pre-filled student section of the NYSED form. NYSED P-12
  • Pre-Operative Clearance – Includes cardiac risk scoring, med-reconciliation, and optimization of HTN/DM. Bring surgical date, surgeon fax, and any outside cardiology reports.
  • OSHA Respirator Evaluation – Online questionnaire reviewed by our occupational-medicine physician; spirometry added if indicated.
  • Travel Clearance – Comprehensive itinerary is key; high-altitude or remote trips may need hypoxia simulation testing or extra rescue meds.

Frequently Asked Questions

Q: How long is a State-Department medical clearance valid?
A: Generally two years or until a health-status change occurs, whichever comes first. U.S. Department of State

Q: Is a tele-visit acceptable for OSHA respirator clearance?
A: Yes—if the full Appendix C questionnaire is reviewed by a licensed professional and no additional testing is required. OSHA

Q: Will my insurance cover pre-travel vaccines?
A: Coverage varies; many plans reimburse CDC-recommended immunizations when coded as preventive services. Check with your carrier and ask our billing team to pre-verify benefits.

Further Reading & Official Forms

  • U.S. Department of State – Medical Clearances (classes, FAQs, forms DS-1843 & DS-1622) U.S. Department of State
  • 16 FAM 210 – Medical Clearance Regulations Foreign Affairs Manual
  • OSHA Respiratory Protection Standard – 29 CFR 1910.134 & App C Questionnaire OSHA
  • CDC Yellow Book – Chapter 1: Pre-Travel Consultation CDC
  • ACP 2024 Perioperative Medicine Course & ACC/AHA Pending Guidelines American College of Physicians

Need help navigating which clearance you require?
Call (718) 275-8900 or request an appointment online—our multi-specialty team in Forest Hills can complete most clearances in a single visit.


Insurance & Pricing Transparency

  • Most Major Plans – Aetna, BCBS, Cigna, Fidelis, HIP, MetroPlus, Medicare & Medicaid.
  • Flat Fees (uninsured): DOT $125, FAA $160, Immigration $350 (incl. labs), Sports Physical $75.
  • Price-Match – If you find a lower verified rate within Queens for the same clearance, Medex will match it.

Need to schedule? Call (718) 275-8900 or hit the orange “Book Now” button—our Forest Hills clinic completes most medical-clearance paperwork in one visit.

This resource is provided for educational purposes and does not replace individualized medical advice. Always consult a qualified health professional for personal assessment.

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