I-910 Application for Civil Surgeon Designation

A licensed physician applies to be designated a USCIS civil surgeon, which is what allows them to sign the I-693 immigration medical exam. Only designated civil surgeons can do that work.

USCISEdition 01/20/25Paper only

Fee: $990
Fee waiver: Not available
Who files: Licensed U.S. physicians.
Where to file: By mail to the USCIS lockbox named in the instructions.

Usually filed with

I-693Report of Immigration Medical Examination and Vaccination Record

What changed in 2025 and 2026

Civil surgeon designation is what allows a doctor to sign the I-693 medical exam; the pool of designated surgeons drives waiting times for medicals.

Official page. https://www.uscis.gov/i-910. Download the form there, never from a third-party site; check the edition date and fee before filing.