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Minnesota Civil Surgeons
A brief overview of the role of the civil surgeon and a list of USCIS-designated medical providers in Minnesota who can sign off on the I-693 medical exam.
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Minnesota Civil Surgeons (PDF)
Updated 6/11/24
On this page:
Understanding the Role of the Civil Surgeon
Validity of the I-693 Form
For Refugees
For Immigrants (including asylees and parolees)
For Afghan Humanitarian Parolees
Considerations from Technical Instructions
Tuberculosis Screening
Vaccinations
For More Information
Minnesota Civil Surgeons List
Understanding the Role of the Civil Surgeon and Adjustment of Status for Refugees
Immigrants who have been in the U.S. for one year may complete medical evaluations to adjust their status and obtain a "Green Card" or Legal Permanent Residence status. The medical evaluation requirements are different for refugees and immigrants, so it is important to first determine whether the individual is designated as a refugee or an immigrant. In most cases your patient will know their designation. If they do not know, ask to see their “I-94” card. As a general rule, a refugee will have the word "refugee" printed on their I-94 card. For all applicants, USCIS Form I-693 must be completed, signed, and submitted in a sealed envelope.
The exam needs to be completed by a civil surgeon (a physician officially designated by U.S. Citizenship and Immigration Services or USCIS) or their designee. For applicants with refugee status only, the medical director of local public health in participating counties is also authorized to complete the form.
Validity of the I-693 Form
The applicant must file the I-693 with USCIS within 60 days of signature. The form, then, is valid for a period of up to two years, while the USCIS adjudicates the application. Forms that are submitted after 60 days of signature or completed incorrectly are invalid and the application will be rejected.
Civil surgeons are encouraged to write the signature date on the outside of the envelope of sealed copy of I-693 to facilitate the client or lawyer in correct processing. Consider providing client with an extra (unsealed) copy for their records.
For Refugees
- For refugees who arrived to the U.S. with a Class A condition (note: this is unusual), the entire medical exam is required, including any necessary vaccinations. In this case, a civil surgeon or their designee must complete the exam.
- For refugees who arrived to the U.S. without a Class A condition, only immunizations need to be reviewed and updated. In this case, a civil surgeon or their designee or the medical director of local public health in participating counties must complete the exam.
- Refugees who only need to submit the vaccination record should submit the entire Form I-693, but only need to complete the following sections:
- Part 1: Information About You
- Part 2: Applicant's Statement, Contact Information, Certification, and Signature
- Part 3: Interpreter Contact Information, Certification, and Signature
- Part 4: Applicant's Identification Information
- Part 6: Civil Surgeon's Contact Information, Certification, and Signature
- Part 9: Vaccination Record
For Immigrants (including asylees and parolees)
- A complete medical examination including immunizations is required.
- The exam must be completed by a civil surgeon (a physician officially designated by USCIS) or their designee.
- Learn more about Afghan Humanitarian Parolees below.
For Afghan Humanitarian Parolees
Afghan evacuees who entered the U.S. under humanitarian parole during Operation Allies Welcome have temporary parole status that allows them to legally live and work in the U.S. for two years. To stay longer than two years, they will need to file for an adjustment of immigration status through one of these pathways:
- Special Immigrant Visa (SIV): Afghan evacuees may qualify for an SIV if they were employed by the U.S. government, U.S. contractor, or International Security Assistance Force (ISAF) in Afghanistan for over a year. Learn more at U.S. Department of State: Special Immigrant Visas for Afghans – Who Were Employed by/on Behalf of the U.S. Government.
- Asylum: Afghan evacuees who do not qualify for an SIV may qualify for asylum. This application needs to be filed within one year of arrival, and they may apply for permanent residency after one year from the time asylum was granted. Learn more at USCIS: Information for Afghan Nationals.
Evacuees who arrived during Operation Allies Welcome received a medical exam in the Safe Havens. If the medical results were documented on the I-693 immigration medical examination form, this exam may qualify for their adjustment of status application. However, Afghan nationals with an SIV or asylum status should consult with USCIS and/or legal counsel to determine when and if the I-693 medical examination is required for the adjustment of status to become legal permanent residents.
Considerations from Technical Instructions
Tuberculosis Screening
Tuberculosis screening applies to all non-refugee immigrants (and refugees who arrived with a Class A waiver). Per March 2023 Technical Instructions, civil surgeons should report all Class B0, B1 Pulmonary or Extrapulmonary, and B2 Latent TB Infection diagnoses to the Center for Disease Control and Prevention’s eMedical system. All records must be entered into eMedical within five business days after I-693 forms have been completed. While a release of information is not needed, patients should be informed of this referral. Lead shielding is no longer recommended or required for the status adjustment medical examination for any applicants, including those who are pregnant. All applicants 2 years or older MUST have an IGRA TB test (not a TST). Positive IGRAs, applicants with known HIV infection, and those with signs or symptoms of TB disease must have a chest x-ray. Those applicants with a positive IGRA for whom active TB disease is ruled out have latent tuberculosis infection (LTBI).
- Tuberculosis (TB) Basics
- Treatment for Latent TB Infection (LTBI)
- What does having latent tuberculosis (LTBI) mean for me? (PDF)
Information on TB transmission and treatment for people immigrating to the United States. Other languages available in brochures dropdown on TB Basics.
Vaccinations
All applicants must meet vaccination requirements for the list of diseases designated by the Centers for Disease Prevention and Control for adjustment of status purposes. This is a subset of the Advisory Committee for Immunization Practices (ACIP) guidelines, and ACIP guidance should be followed regarding age, dosage, timing, and contraindications. As completion of a vaccine series often requires several months, the series may not be complete at the time of I-693 completion. Applicants are required to receive from the civil surgeon at least one dose of each age-appropriate vaccine listed in Table 1 for which the applicant is not currently up to date; effective October 1, 2021, applicants must be fully vaccinated against COVID-19. Applicants should be encouraged to follow up with a primary health care provider to complete the series.
- Free or Low-Cost Shots for Children
Information on how to determine if your child can get free or low-cost immunizations. - Vaccination Clinics Serving Uninsured and Underinsured Adults
Search for clinics with free vaccine for qualifying uninsured and underinsured adults. For adults (19 years and older), immunizations may be available at low-cost at the local public health agency in the county in which they reside or in other participating clinics.
For More Information
- Download the complete Form I-693, Report of Medical Examination and Vaccination Record from the U.S. Citizenship and Immigration Services.
- Find a Civil Surgeon who is authorized by the U.S. Citizenship and Immigration Services.
- CDC offers guidance on:
- Medical History and Physical Examination
- Vaccination Technical Instructions for Civil Surgeons
- Tuberculosis Technical Instructions for Civil Surgeons
- Additional guidance is available from the MDH Refugee Health Program at 651-201-5414.
Minnesota Civil Surgeons List
Administrative fees for completing the I-693 form are not covered by insurance and vary between civil surgeons. Please check with the clinic for details.
Blue Earth | Dakota | Hennepin | Koochiching | Lyon | Mille Lacs | Nobles | Olmsted | Ramsey | Rice | Scott | Stearns
Blue Earth County
| Agency | Civil Surgeon | Address/Phone | Services Offered |
|---|---|---|---|
| MAYO CLINIC HEALTH SYSTEM | Dr. Korsapati | 101 Martin Luther King Jr Dr 507-594-6500 |
|
Dakota County
| Agency | Civil Surgeon | Address/Phone | Services Offered |
|---|---|---|---|
| AUSTIN ORTHOPEDICS AND SPORTS MEDICINE | Dr. Kazi | 14501 Burnhaven Dr 952-898-1774 |
|
| CONCENTRA MEDICAL CENTER | Dr. Kemper | 2520 Pilot Knob Rd 651-224-8264 |
|
| MD PHYSICALS, INC. | Dr. Partida-Ruesga | 14135 Cedar Ave #300 952-431-9655 |
|
| MINNESOTA OCCUPATIONAL HEALTH | Dr. Lockheart Dr. Wall | 1400 Corporate Center Curve 651-968-5300 |
|
| MY MEDICAL CLINIC | Dr. Ahsan Dr. Anand | 4130 Blackhawk Rd #112 651-340-1445 |
|
Hennepin County
| Agency | Civil Surgeon | Address/Phone | Services Offered |
|---|---|---|---|
| AA PHYSICIANS | Dr. Axelrod | 6545 France Ave S 952-846-7446 |
|
| AM PHYSICIANS | Dr. Bacaner Dr. Mirman | 4201 Excelsior Blvd 952-564-3882 |
|
| AMERICAN IMMIGRATIONS OF TWIN CITIES MEDICAL CENTER | Dr. Oldenburg | 4601 Excelsior Blvd 952-926-0025 |
|
| AXIS MEDICAL CENTER | Dr. Hassan Dr. Semakula | 1801 Nicollet Ave 612-823-2947 |
|
| CENTRAL CLINIC– NEIGHBORHOOD HEALTHSOURCE | Dr. Ali | 2301 Central Ave NE 612-588-9411 |
|
| COMMUNITY-UNIVERSITY HEALTH CARE CENTER (CUHCC) | Dr. Borowsky Dr. Reif | 2001 Bloomington Ave 612-301-3433 |
|
| CROWN MEDICAL CENTER | Dr. Nguyen Dr. Onyekaba | 100 E. Franklin Ave S 1925 First Ave S 6901 78th Ave N 612-871-2644 |
|
| FREMONT CLINIC – NEIGHBORHOOD HEALTHSOURCE | Dr. Vint | 3300 Fremont Ave N 612-588-9411 |
|
| HENNEPIN COUNTY MEDICAL CENTER PEDIATRICS | Dr. Maroushek | 701 Park Ave 612-873-6963 |
|
| HENNEPIN COUNTY PUBLIC HEALTH CLINIC | Dr. Rock | 525 Portland Ave 612-543-5555 |
|
| M HEALTH FAIRVIEW CLINIC – BASS LAKE | Dr. Vaka | 6320 Wedgewood Rd N 763-268-0400 |
|
| MAPLE GROVE MEDICAL CENTER | Dr. Zarate | 9855 Hospital Dr. 763-581-5800 |
|
| MIDPOINT MEDICAL CLINIC | Dr. Kerandi | 7240 Brooklyn Blvd 763-208-0677 |
|
| MINNEAPOLIS HEALTH CLINIC | Dr. Totoe | 4825 Olson Memorial Highway 763-496-5708 |
|
| MULTICULTURAL HEALTH SERVICES | Dr. Townley | 2330 Central Ave NE 612-781-1212 |
|
| MY MEDICAL CLINIC | Dr. Ahsan Dr. Anand | 12805 Hwy 55 651-340-1445 |
|
| NOBLE PARKWAY MEDICAL CLINIC | Dr. Fawole | 4808 85th Ave N 763-496-1562 |
|
| ODAM MEDICAL GROUP | Dr. Larbi-Odam | 920 East 28th St 612-871-2312 |
|
| SHERIDAN CLINIC– NEIGHBORHOOD HEALTHSOURCE | Dr. Benzie Dr. Bresette | 342 13th Ave NE 612-588-9411 |
|
| SUMMIT CLINIC | Dr. Hussain | 12805 Highway 55 763-323-6564 |
|
Koochiching County
| Agency | Civil Surgeon | Address/Phone | Services Offered |
|---|---|---|---|
| ESSENTIA HEALTH | Dr. Vergeldt | 2501 Keenan Drive 218-283-9431 |
|
Lyon County
| Agency | Civil Surgeon | Address/Phone | Services Offered |
|---|---|---|---|
| AVERA MEDICAL GROUP | Dr. Mok | 300 S Bruce St 507-532-1114 |
|
Mille Lacs County
| Agency | Civil Surgeon | Address/Phone | Services Offered |
|---|---|---|---|
| FAIRVIEW-PRINCETON | Dr. Mai | 919 Northlands Dr 763-389-3344 |
|
Nobles County
| Agency | Civil Surgeon | Address/Phone | Services Offered |
|---|---|---|---|
| SANFORD WORTHINGTON | Dr. Dike | 1680 Diagonal Rd 507-372-3800 |
|
Olmsted County
| Agency | Civil Surgeon | Address/Phone | Services Offered |
|---|---|---|---|
| MAYO CLINIC | Dr. Cowl Dr. Haddon Dr. Newcomb Dr. Swift Dr. Thompson | 200 First St 507-284-4340 |
|
| ROCHESTER CLINIC | Dr. Jiang | 3070 Wellner Dr NE 507-218-3095 |
|
Ramsey County
| Agency | Civil Surgeon | Address/Phone | Services Offered |
|---|---|---|---|
| CENTRAL MEDICAL CLINIC | Dr. Morales | 393 N Dunlap St 651-644-6002 |
|
| COMPLETE HOME HEALTH SERVICES | Dr. Nomo-Ongolo | Silver Lake Plaza Building 612-788-2273 |
|
| EVERGREEN PRIMARY CARE | Dr. Vang | 570 N Asbury St 651-349-4880 |
|
| EZY URGENT CARE | Dr. Nola | Hmong Village 651-646-0028 |
|
| HEALTHPARTNERS CENTER FOR INTERNATIONAL HEALTH | Dr. Nunez Pena Dr. Settgast Dr. Westerhaus | 451 North Dunlap St 952-967-7201 |
|
| IMMIGREAT LLC | Dr. Gebre | 2680 Snelling Ave N 651-219-3368 |
|
| M HEALTH FAIRVIEW CLINIC – BETHESDA | Dr. Weinmann | 580 Rice St 651-227-6551 |
|
| M HEALTH FAIRVIEW CLINIC – ROSELAWN | Dr. Letts | 1983 Sloan Place 651-326-5700 |
|
| MINNESOTA OCCUPATIONAL HEALTH | Dr. Kipp | 1661 St. Anthony Ave 651-968-5300 |
|
| MY MEDICAL CLINIC | Dr. Ahsan Dr. Anand | 1560 Beam Ave 651-340-1445 |
|
| ST. PAUL CLINIC | Dr. Yang | 301 West University Ave 651-447-7113 |
|
| ST. PAUL FAMILY MEDICAL CENTER | Dr. Xiong | 1239 Payne Ave 651-209-8350 |
|
| WEST SIDE COMMUNITY HEALTH SERVICES | Dr. Benfield | 153 Cesar Chavez St 651-222-1816 |
|
Rice County
| Agency | Civil Surgeon | Address/Phone | Services Offered |
|---|---|---|---|
| ALLINA HEALTH FARIBAULT CLINIC | Dr. Zarate | 100 State Ave 507-334-3921 |
|
Scott County
| Agency | Civil Surgeon | Address/Phone | Services Offered |
|---|---|---|---|
| MINNESOTA OCCUPATIONAL HEALTH | Dr. Swann | 4360 12th Ave E 651-968-5300 |
|
Stearns County
| Agency | Civil Surgeon | Address/Phone | Services Offered |
|---|---|---|---|
| ODAM MEDICAL GROUP | Dr. Larbi-Odam | 3405 3rd St. N 320-774-3800 |
|