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I-910, Application for Civil Surgeon Designation

Purpose of Form

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.)

Generally, physicians interested in obtaining civil surgeon designation must apply using Form I-910. Certain physicians may not need to apply for civil surgeon designation if they fall under a limited number of blanket designations. Please refer to the instructions to determine whether you should use this form. For more information, see the USCIS Policy Manual Blanket Civil Surgeon Designation Guidance.

The National Benefits Center is accepting applications for civil surgeon designation. USCIS has the authority to exercise discretion in approving civil surgeon applications based on local requirements. See 8 CFR 232.2.  At this time, USCIS does not foresee invoking any local restrictions, but reserves the right to apply such restrictions.

Number of Pages

Form 5; Instructions 9.

Edition Date

10/22/13. A new edition of this form is coming soon. In the meantime, customers may file using the 10/22/13 edition.  No previous editions accepted.

Where to File

PO Box 660812
Dallas, TX 75266

Filing Fee


Special Instructions

Lockbox Filing: If you are filing at a USCIS Lockbox facility, please read these important Lockbox filing tips.
To ensure your application is accepted:

  • Pay the correct fee.
  • Properly sign your form.
  • Complete the entire form, especially these required fields: Full Name, Address of the Clinic/Practice, and Date of Birth.

For detailed information about the medical examinations:

To notify USCIS of any change(s) relevant to your civil surgeon designation (including any changes to contact information listed on the Civil Surgeon Locator), email with your updated information.

Last Reviewed/Updated:03/11/2014 11/04/2015