Application for Civil Surgeon Designation Registration

Application for Civil Surgeon Designation Registration

Designated Civil Surgeons IC

Application for Civil Surgeon Designation Registration

OMB: 1615-0114

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Designated Civil Surgeons

Most applicants for adjustment of status are required to have a medical examination. The medical examination must be conducted by a civil surgeon who has been designated by the Bureau of Citizenship and Immigration Services. Medical examinations are needed for adjustment of status cases (Form I-485) and requests for V nonimmigrant status (Form I-539). If you are applying for a visa outside of the United States, the DOS will instruct you to have a medical exam conducted by a Panel Physician overseas prior to their receiving their visa. For more information review our Immigration Medical Examination page.

Finding A Designated Civil Surgeon in Your Area

For the most current list of civil surgeons in your area, please check our Civil Surgeons Locator, or call the National Customer Service Center at 1 (800) 375-5283. After you have selected English or Spanish as your language of choice for the message, choose #5 for medical examinations from the list of six automated options. You will be asked to key in your zip code to help determine the list of designated civil surgeons close to you. Have pencil and paper ready to record the names of the civil surgeons provided.

Doctors interested in being registered as a Designated Civil Surgeon should submit the following to their local District Office:

  • A letter to the District Director requesting consideration

  • A copy of a current medical license

  • A current resume that shows 4 years of professional experience, not including a residency program

  • Proof of U.S. Citizenship or lawful status in the United States

  • Two signature cards showing name typed and signature below


File Typeapplication/msword
File TitleDesignated Civil Surgeons
AuthorStephen Tarragon
Last Modified ByStephen Tarragon
File Modified2010-05-04
File Created2010-05-04

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