Application for Civil Surgeon Designation

I-910, Application for Civil Surgeon Designation

• Download Form I-910 (XXXKB PDF)

• Download Instructions for Form I-910 (XXXKB PDF)

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.

Number of Pages:

Form 5; Instructions 9.

Edition Date:

XX/XX/XX.

Where to File:

USCIS XXX Lockbox
Address 1
Address 2

Filing Fee:

$615.

Special Instructions:

Lockbox Filing: If you are filing at a USCIS Lockbox facility, please read these important Lockbox Filing Tips. 

E-Notification: If you want to receive an e-mail and/or text message that your Form I-601 has been accepted at a USCIS Lockbox facility, complete Form G-1145, E-Notification of Application/Petition Acceptance and clip it to the first page of your application.

To ensure your application is accepted:

• Pay the correct fee.

• Properly sign your form.

• Complete the entire form, especially these required fields: Last Name, Address and Date of Birth.

For detailed information about the medical examinations:

• Applicants - Visit the Immigration Medical Examinations page linked on the right.

• Civil Surgeons - Visit the Designated Civil Surgeons Page linked on the right to find detailed information and resources about the examination and useful links.

This page can be found at http://www.uscis.gov/i-910