Tools and Resources
Designated Civil Surgeons
Depending on the immigration benefit sought, an applicant may be required to undergo a medical examination. Immigration medical examinations conducted inside the United States must be performed by a civil surgeon who has been designated by USCIS. (Immigration medical examinations conducted outside the United States must be performed by a panel physician who has been designated by the Department of State.)
For more information on the immigration medical exam, see USCIS Policy Manual Guidance on Health-Related Grounds of Inadmissibility. For more information on civil surgeons, see USCIS Policy Manual Civil Surgeon Guidance.
How to Become a Civil Surgeon
If you are interested in becoming a civil surgeon, you must apply using Form I-910, Application for Civil Surgeon Designation.
NOTE: Certain physicians may not need to apply for civil surgeon designation if they fall under a limited number of blanket designations. For more information, see USCIS Policy Manual Blanket Civil Surgeon Designation Guidance.
Civil Surgeons’ Responsibilities: Technical Instructions
Civil surgeons must perform the immigration medical examination according to the Technical Instructions for the Medical Examinations of Aliens in the United States (Technical Instructions or TIs), published by the Centers for Disease Control and Prevention (CDC) in Atlanta, Georgia. These Technical Instructions include:
Each of these documents and updates can be obtained from CDC’s website.
CDC does not mail hard copies of these documents; it is the responsibility of the civil surgeon to obtain these documents online and comply with the requirements of the Technical Instructions.
Failure to comply with the Technical Instructions may result in USCIS revoking the civil surgeon’s designation.
Educational Materials for Civil Surgeons
USCIS coordinates with CDC to provide regular instruction on how to perform the immigration medical examination according to the Technical Instructions and correctly capture results of the exam on Form I-693, Report of Medical Examination and Vaccination Record. PowerPoint presentations from the recent Civil Surgeon Seminar series can be found on the right side of this page.
Questions and Updates
For currently designated civil surgeons:
USCIS Civil Surgeon Locator
A public list of designated civil surgeons is available online through the Civil Surgeon Locator
In order to keep the public list of civil surgeons accurate and up-to-date, civil surgeons must notify USCIS within 15 days of any change(s) relevant to civil surgeon designation, including if:
This page can be found at www.uscis.gov/civilsurgeons
Last Reviewed/Updated: 03/11/2014
Civil Surgeon Letters
Civil Surgeon Seminars
Questions and Answers