Carl Fertil reviews the results of his chest x-ray with a nurse practitioner as he completes a physical exam with the Collier County Health Department on April 24. As refugees from Haiti, Carl and his siblings must complete the physicals to obtain their Permanent Resident Card, also known as a green card. David Albers/Staff

Photo by DAVID ALBERS, Daily News

Carl Fertil reviews the results of his chest x-ray with a nurse practitioner as he completes a physical exam with the Collier County Health Department on April 24. As refugees from Haiti, Carl and his siblings must complete the physicals to obtain their Permanent Resident Card, also known as a green card. David Albers/Staff

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