Went there for the immigration Form I-693 vaccines and the receptionist said«you need another physical examination». WRONG!!! The instructions clearly state that if you’ve had a health exam during the past year, you DONOT need another one — just the vaccines and parts 1, 2, 4&7 of Form I-693. She knew that the required vaccines for a 48 year old person are MMR and Tdap(or Td). A flu shot is only required during flu season and varicella is not required if you had the illness(varicella history). The cost quoted for those 2 vaccines was $ 180. Got them somewhere else for $ 127.