Immigration Medicine & Visitor Primary Care

Dr. Kainkaryam is a USCIS recognized Civil Surgeon, and is authorized to perform I-693 Immigration Medical Examinations for individuals applying for their Permanent Resident (Greencard) status.

But in addition, Dr. Kainkaryam has a special primary care model to be able to take care of Visitors from other countries!  Often times, Travel Insurance doesn’t cover pre-existing conditions.  But we can help keep your relatives healthy and identify issues before needing to seek high cost care in US hospitals and Emergency Rooms!

Immigration Medicine & Visitor Primary Care

Dr. Kainkaryam is a USCIS recognized Civil Surgeon, and is authorized to perform I-693 Immigration Medical Examinations for individuals applying for their Permanent Resident (Greencard) status.

But in addition, Dr. Kainkaryam has a special primary care model to be able to take care of Visitors from other countries!  Often times, Travel Insurance doesn’t cover pre-existing conditions.  But we can help keep your relatives healthy and identify issues before needing to seek high cost care in US hospitals and Emergency Rooms!

Direct Primary Care & more, reimagined for You

4 Elementsâ„¢ Direct Primary Care is a membership-based, direct primary care (DPC) practice. That means we work for you. Not for insurance companies or big hospital systems. You. We believe our
care and your health should not depend on third parties.

I-693 Immigration Medical Exams

Dr. Kainkaryam is a designated US Civil Surgeon by USCIS and offers Immigration Physicals in South Windsor and Rocky Hill.

Primary Care for International Visitors

Your doctor away from home! Adult & pediatric medicine, reimagined in a modern yet authentic experience with easy access to your doctor and combining integrative modalities

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Quality Medical Care that is Affordable for Immigrants and Visitors

The unfortunate truth about today’s primary care is that it’s difficult to access and not transparent. We believe modern medicine should still have an old school feel — a real relationship between the doctor and the patient. We make access to your doctor and the entire care experience amazingly simple, all for less than the price of a cup of coffee per day.

"I no longer feel like a number"

Motivational WedgesMotivational Wedges
19:05 03 Jan 23
I had a great experience at the 4 Element DPC in Rocky Hill, CT. The team was very nice, friendly and professional. They offered excellent recommendations and made the process so easy. Thank you guys so much.Point to note, I didn’t have health insurance and all the other immigration doctors were charging some huge prices, but 4 Element had the most affordable price by far and I was able to pay out of pocket, thank you.Many blessings.!
Jorge VelardeJorge Velarde
15:49 26 Oct 22
Really nice threat from the personal of 4 Elements, Moe and Dr Kainkaryam make you feel confident and comfortable all the time, I went for a Immigration Medical Examination, firstly I felt nervious due I didn't know what to expect, both make me feel comfortable doing some jokes or asking me things non-related with the propose of the visit, they communicate everything and provide clear indications about the process and updates on it. 100% recommended.
Shubha PanduShubha Pandu
22:19 20 Sep 22
Wonderful experience with 4 Elements Direct Primary care. as a first timer. Dr.Vasanth Kainkaryam is wonderful doctor and extremely knowledgeable and the staffs were helpful, kind and professional .From the moment I entered the doors to the office, I felt welcomed, cared for and completely at ease.   Visited medical office for my Immigration Physicals and I will definitely continue my Primary Care with them . I highly recommend this to my family and friends.
Dania EstevezDania Estevez
19:55 05 Sep 22
The moat professional and friendly staff. Three Doctor really knows what he s doing and explains everything in the clearest way. Great for immigration medical exams. They also offer other services. The place is very clean and waiting area is very comfy.
susan liususan liu
12:16 26 May 22
We have an amazing experience at 4 Elements Direct. Dr. Kainkaryam is very professional, smart, and kind. The service are very efficient. He patiently went through every detail with us. The staffs are super nice, friendly, and helpful. I highly recommend them
Dr.Vasanth Kainkaryam is a friendly person.To start with, making an appointment is super easy, as it is fully online. He listens to the patients and explains everything in great detail. The staffs are friendly and easily reachable. Communication with the practice is the highlight as they are very attentive. 10/10. 🙂
Jessica CabanellasJessica Cabanellas
12:55 07 May 22
I recently have been there for my USCIS medical exam. They are amazing, super professional, clean, organized, friendly and quick on replies. I had an appointment on 05/03 and all my results got ready by 05/06, and my second appointment would only be 05/12, so I ask them if they by any chance have an appointment sooner, and they did me a great favor of squeezing me in between patients, so I can send my papers to USCIS. Great experience!!
Sharey TownsendSharey Townsend
13:25 29 Mar 21
The services I received from 4 Elements Direct Primary Care were SUPERB! Dr Kainkaryam is professional, experienced, knowledgeable, caring and always punctual. I was informed throughout each stage of my procedure and any questions posed were answered reassuringly. The office is clean, spacious and well equipped with touches of modern medical technology which creates smooth transitioning throughout visits.I recommend 4 Elements Direct Primary Care to all my family and friends.
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An immigration medical exam is a medical examination that is required for individuals who are seeking to immigrate to a new country. The purpose of this exam is to ensure that the applicant is not carrying any communicable diseases or illnesses that could pose a public health risk. The exam is typically conducted by a designated physician authorized by the government of the country where the applicant is seeking to immigrate. The exam will typically include a physical exam, blood tests, and other diagnostic tests as needed. The results of the exam will be documented on a medical report form which will be submitted as part of the applicant’s immigration application.

While the exam itself is not covered by health insurance, the labs and the screening tests may be covered if you have health insurance all depending on your insurance carrier.  You will have to reach out to them directly to ask about coverage.  For those who don’t have insurance or choose not to use insurance, we have direct pay rates that are affordable.

Once you register, you will receive a link to a video and document to help you prepare for the exam.  Our booking process is completely electronic and we will help guide you through the process.

Travel health insurance is for unpredictable high cost expenses for visitors, and usually does not cover pre-existing conditions.  Through our unique membership for visitors, we offer affordable primary care services for your family members so that while they are in the US, they can have access to a doctor who can help navigate the health care system and help potentially avoid unnecessary high cost expensive care. Â