USCIS-designated Civil SurgeonImmigration Medical Exams (I-693)
Thousands of immigration medical exams completed. We review your records first so you only get the vaccines you actually need, complete the I-693 correctly, and hand you the sealed envelope for USCIS. Exams are available in English and Spanish, and we know the timeline matters.
D-ABOM · Obesity Medicine DiplomatePhysician-Guided Weight Loss
$200 initial visit · $150 follow-up · no subscription
No judgment, and no monthly plan to cancel. A board-certified obesity medicine physician helps you decide whether Wegovy, Zepbound, Ozempic, Mounjaro, phentermine, or Qsymia fits your health and your budget, then handles the prior authorization with your insurance. We talk through GLP-1 safety plainly, and you never have to prove you're "heavy enough" to have the conversation.
Pricing shared before you bookAesthetics & Skincare
Botox, Jeuveau, Lumecca IPL facials, IPL hair removal, and medical-grade skincare including tretinoin. Dr. Gougian chose these treatments for herself, and they're offered in the same unhurried office where you get your checkups.
Primary Care & Follow-Up
New patients are welcome. Establish care once, then keep the same doctor for checkups, chronic conditions, and the follow-up in between.
Establish care→Vaccinations
Routine and travel vaccines, given only when your records show you need them.
Vaccinations→Immunity Testing
Blood tests that document the immunity you already have, so you're not repeating vaccines for an immigration exam.
How immunity testing works→In-Office Procedures
Skin tag removal, cyst and abscess treatment, skin biopsies, and joint injections, done here rather than referred out.
All in-office procedures→On-Site Lab & Blood Draw
Blood work drawn in the office, with results explained by the doctor who ordered them.
On-site lab→Metabolic Health & Diabetes
Type 2 diabetes management, lipid management, and metabolic health assessments.
Type 2 diabetes care→