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Refugee Health Care Provider Resources

  • Care Provider Resources Home
  • Minnesota Domestic Refugee Health Screening Guidance
  • Minnesota Civil Surgeons

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  • Refugee Health Home
  • Center of Excellence in Newcomer Health
  • Health Requirements for Humanitarian Parolees
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  • Afghan Clinical Guidance
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Refugee Health Care Provider Resources

  • Care Provider Resources Home
  • Minnesota Domestic Refugee Health Screening Guidance
  • Minnesota Civil Surgeons

Spotlight

  • Refugee Health Home
  • Center of Excellence in Newcomer Health
  • Health Requirements for Humanitarian Parolees
  • Ukrainian Clinical Guidance
  • Afghan Clinical Guidance
  • CareRef
Contact Info
Refugee Health Program
651-201-5414
refugeehealth@state.mn.us

Contact Info

Refugee Health Program
651-201-5414
refugeehealth@state.mn.us

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.

Download PDF version formatted for print:
Minnesota Civil Surgeons (PDF)
Updated 4/30/25

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 Lawful 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.

Civil surgeons, physicians officially designated by U.S. Citizenship and Immigration Services or USCIS, need to complete the immigration medical exam. For applicants with refugee status only, the medical director of local public health in participating counties is also authorized to complete the form.

For all applicants, the USCIS Form I-693 must be completed, signed, and submitted in a sealed envelope.

  • USCIS: 1-693, Report of Medical Examination and Vaccination Record

Validity of the I-693 Form

The applicant must submit the I-693 with the I-485. The form, then, remains valid indefinitely, while the USCIS adjudicates the application. Forms that are 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.

  • USCIS: Validity of Report of Medical Examination and Vaccination Record (Form I-693) (PDF)

For Refugees

  • For refugees who arrived in the U.S. with a Class A condition (note: this is unusual), the entire immigration medical exam is required, including any necessary vaccinations. In this case, a civil surgeon must complete the exam.
  • For refugees who arrived in the U.S. without a Class A condition, only immunizations need to be reviewed and updated. In this case, a civil surgeon or the medical director of local public health in participating counties may 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
  • CDC: Medical History and Physical Examination | Technical Instructions for Panel Physicians

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).

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 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. OR,
  • Asylum: Afghan evacuees, ineligible for SIV status, 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 may have received a full medical exam by blanket-designated civil surgeons on government-run facilities in the U.S. or abroad. If the medical results were documented on the I-693 immigration medical examination form, or DS-7794 or DS-2054 abroad, this exam will 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.

  • USCIS: Immigration Medical Examinations for Certain Afghan Nationals Who Arrived in the United States During Operation Allies Welcome (PDF)

For Other Immigrants

  • A complete medical examination including immunizations is required.
  • The exam must be completed by a civil surgeon (a physician officially designated by USCIS).

Considerations from Technical Instructions

Tuberculosis Screening

Tuberculosis screening applies to all non-refugee immigrants or refugees who arrived with a Class A waiver. 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 also have a chest x-ray. Lead shielding is no longer recommended or required for the status adjustment medical examination for any applicants, including those who are pregnant. 

Per March 2023 Technical Instructions, civil surgeons should report all Class B0, B1 pulmonary or extrapulmonary, and Class 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. The Minnesota Department of Health and local public health departments will be notified of applicants eligible for latent TB infection; public health departments may contact the individuals to offer treatment. 

  • CDC: The eMedical System Documentation | Tuberculosis Technical Instructions for Civil Surgeons

MDH: Tuberculosis (TB)

  • 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 at least one dose of each age-appropriate vaccine listed in Table 1 for which the applicant is not currently up to date. Applicants should be encouraged to follow up with a primary health care provider to complete the other vaccine series.

  • CDC: Vaccination Technical Instructions for Civil Surgeons
To avoid high out-of-pocket expenses, applicants with insurance may go to their own primary clinic to complete or update immunizations prior to contacting a civil surgeon. For uninsured applicants, immunizations may be available at lower cost at the local public health agency in the county in which they reside. NOTE: Prices may vary among clinics.
  • 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.

Anoka | Blue Earth | Dakota | Hennepin | Koochiching | Lyon | Mille Lacs | Nobles | Olmsted | Ramsey | Scott | Stearns | Washington

Anoka County

AgencyCivil SurgeonAddress/PhoneServices Offered
COMPLETE HOME HEALTH SERVICESDr. Nomo-Ongolo

4001 Stinson Blvd NE
Silver Lake Plaza Building, Suite 332
St. Anthony, MN 55421

612-788-2273

  • Full I-693 medical exam
  • Call to schedule exam and assessment of immunization needs.
MINNESOTA OCCUPATIONAL HEALTHDr. Kipp

600 Coon Rapids NW
Coon Rapids, MN 55433

651-968-5300

  • Full I-693 medical exam
  • Review and process paperwork for I-693 for refugees, including vaccinations if needed.

Blue Earth County

AgencyCivil SurgeonAddress/PhoneServices Offered
MAYO CLINIC HEALTH SYSTEMDr. Korsapati

1025 Marsh St
Mankato, MN 56001

507-594-4700

101 Martin Luther King Jr Dr
Mankato, MN 56001

507-594-6500

  • Full I-693 medical exam
  • Review and process paperwork for I-693 for refugees, including vaccinations if needed.

Dakota County

AgencyCivil SurgeonAddress/PhoneServices Offered
AUSTIN ORTHOPEDICS AND SPORTS MEDICINEDr. Kazi

14501 Burnhaven Dr
Suite 100
Burnsville, MN 55337 

952-898-1774

  • Full I-693 medical exam
  • Review and process paperwork for I-693 for refugees, including vaccinations if needed.
CONCENTRA MEDICAL CENTERDr. Kemper

2520 Pilot Knob Rd 
Suite 250
Mendota Heights, MN 55120

651-224-8264

  • Review and process paperwork for I-693 for refugees who live in Dakota County, including vaccinations if needed.
  • Processing takes 2-4 weeks after required immunizations received.
  • Must call for an appointment.
MD PHYSICALS, INC.

Dr. Gonzales

Dr. Gustafson

14135 Cedar Ave
Suite 300
Apple Valley, MN 55124

952-431-9655

  • Full I-693 medical exam
  • Review and process paperwork for I-693 for refugees, including vaccinations if needed.
  • I-693 visits are ONLY available on Tuesdays, Wednesdays, and Fridays.
MINNESOTA OCCUPATIONAL HEALTH

Dr. Lockheart

Dr. Wall

1400 Corporate Center Curve
Suite 200
Eagan, MN 55121

651-968-5300

  • Full I-693 medical exam
  • Review and process paperwork for I-693 for refugees, including vaccinations if needed.
MY MEDICAL CLINIC

Dr. Anand

Dr. Anand

4130 Blackhawk Rd 
Suite 112
Eagan, MN 55122

651-340-1445

  • Full I-693 medical exam
  • Review and process paperwork for I-693 for refugees, including vaccinations if needed.

Hennepin County

AgencyCivil SurgeonAddress/PhoneServices Offered
AA PHYSICIANSDr. Axelrod

6545 France Ave S
Suite 662
Edina, MN 55435

952-846-7446

  • Full I-693 medical exam
  • Review and process paperwork for I-693 for refugees, including vaccinations if needed.
AM PHYSICIANS

Dr. Bacaner

Dr. Mirman

4201 Excelsior Blvd
St. Louis Park, MN 55416

952-564-3882

  • Full I-693 medical exam
  • Review and process paperwork for I-693 for refugees, including vaccinations if needed.
  • Same day appointments; call before coming.
AMERICAN IMMIGRATIONS OF TWIN CITIES MEDICAL CENTERDr. Oldenburg

4601 Excelsior Blvd
Suite 407
St. Louis Park, MN 55416

952-926-0025

  • Review and process paperwork for I-693 for refugees, including vaccinations if needed.
  • For vaccination assessment, paperwork completed same day; all other paperwork returned within 1 week.
  • Appointments generally available within 1-2 days.
AXIS FAMILY CLINICDr. Hassan

3638 Central Ave NE
Minneapolis, MN 55403

612-345-5535

  • Full I-693 medical exam
  • Review and process paperwork for I-693 for refugees, including vaccinations if needed.
AXIS MEDICAL CENTERDr. Semakula

1801 Nicollet Ave
Minneapolis, MN 55403

612-823-2947

  • Full I-693 medical exam
  • Review and process paperwork for I-693 for refugees, including vaccinations if needed.
COMMUNITY-UNIVERSITY HEALTH CARE CENTER (CUHCC)

Dr. Aylward

Dr. Borowsky

Dr. Brown

2001 Bloomington Ave
Minneapolis, MN 55404

612-301-3433

  • Full I-693 medical exam
  • Review and process paperwork for I-693 for refugees, including vaccinations if needed.
  • Walk-ins accepted before 4 p.m.
  • Clinic accepts insurance.
CROWN MEDICAL CENTER

Dr. Nguyen

Dr. Onyekaba

1925 First Ave S
Minneapolis, MN 55403

612-871-4354

7001 78th Ave N
Suite 500
Brooklyn Park, MN 55445

763-566-4535

  • Full I-693 medical exam
  • Review and process paperwork for I-693 for refugees, including vaccination if needed.
  • Walk-ins accepted before 4 p.m.
HENNEPIN COUNTY MEDICAL CENTER PEDIATRICSDr. Maroushek

730 South 8th St
HCMC Red Building
Minneapolis, MN 55415

612-873-6963

  • Full I-693 medical exam only
  • Pediatric patients younger than 19 years old only.
MIDPOINT MEDICAL CLINICDr. Kerandi

7240 Brooklyn Blvd
Suite 200
Brooklyn Park, MN 55429

763-208-0677

  • Full I-693 medical exam
  • Review and process paperwork for I-693 refugees, including vaccination if needed.
MINNEAPOLIS HEALTH CLINICDr. Totoe

4825 Olson Memorial Highway 
Golden Valley, MN 55422

763-496-5708

  • Full I-693 medical exam
  • Review and process paperwork for I-693 refugees, including vaccination if needed.
MN UC PROVIDERSDr. Allegra

415 17th Ave N
Suite 100
Hopkins, MN 55343

952-931-1276

  • Full I-693 medical exam
  • Review and process paperwork for I-693 refugees, including vaccination if needed.
MY MEDICAL CLINIC

Dr. Anand

Dr. Anand

12805 Hwy 55
Suite 125
Plymouth, MN 55441

651-340-1445

  • Full I-693 medical exam
  • Review and process paperwork for I-693 for refugees, including vaccinations if needed.
NOBLE PARKWAY MEDICAL CLINICDr. Fawole

4808 85th Ave N
Suite 300
Brooklyn Park, MN 55443

763-496-1562

  • Full I-693 medical exam
  • Review and process paperwork for I-693 refugees, including vaccination if needed.
ODAM MEDICAL GROUPDr. Larbi-Odam

6014 Lakeland Ave N
Crystal, MN 55428

612-871-2312

  • Full I-693 medical exam
  • Review and process paperwork for I-693 refugees, including vaccination if needed.
SUMMIT CLINICDr. Hussain

12805 Highway 55
Suite 208
Plymouth, MN 55441

763-323-6564

  • Full I-693 medical exam only
  • For vaccination assessment, paperwork completes same day; all other paperwork returned within 2-3 days.

Koochiching County

AgencyCivil SurgeonAddress/PhoneServices Offered
ESSENTIA HEALTHDr. Vergeldt

2501 Keenan Dr
International Falls, MN 56649

218-283-9431

  • I-693 medical exams available on Tuesdays.

Lyon County

AgencyCivil SurgeonAddress/PhoneServices Offered
AVERA MEDICAL GROUPDr. Mok

1521 Carlson St
Marshall, MN 56258

507-532-1114

  • Full I-693 medical exam
  • Review and process paperwork for I-693 for refugees, including vaccinations if needed.

Mille Lacs County

AgencyCivil SurgeonAddress/PhoneServices Offered
MHEALTH FAIRVIEW-PRINCETONDr. Mai

919 Northlands Dr
Princeton, MN 55371

763-389-3344

  • Full I-693 medical exam
  • Review and process paperwork for I-693 for refugees, including vaccinations if needed.

Nobles County

AgencyCivil SurgeonAddress/PhoneServices Offered
SANFORD WORTHINGTONDr. Dike

1680 Diagonal Rd
Worthington, MN 56187

507-372-3800

  • Full I-693 medical exam
  • Review and process paperwork for I-693 for refugees, including vaccinations if needed.

Olmsted County

AgencyCivil SurgeonAddress/PhoneServices Offered
MAYO CLINIC

Dr. Cowl

Dr. Haddon

Dr. Newcomb

Dr. Swift

Dr. Thompson

Dr. Varkey

200 First St SW
Rochester, MN 55904

507-538-3270

  • Full I-693 medical exam
MEDICAL EVALUATION OFFICEDr. Jiang

3257 19th St
Suite 3
Rochester, MN 55901

507-772-8606

  • Full I-693 medical exam
  • Review and process paperwork for I-693 for refugees, including vaccinations if needed.

Ramsey County

AgencyCivil SurgeonAddress/PhoneServices Offered
EVERGREEN PRIMARY CAREDr. Vang

570 N Asbury St
Suite 208
St. Paul, MN 55104

651-349-4466

651-349-4880

  • Full I-693 medical exam
  • Review and process paperwork for I-693 for refugees, including some vaccinations on-site.
  • 9 a.m.-5 p.m. (Mon, Fri)
  • Other hours available by appointment only.
  • Can provide short turnaround time if needed.
EZY URGENT CAREDr. Nola

1001 Johnson Parkway
Suite A17
St. Paul, MN 55106

651-646-0028

  • Full I-693 medical exam
  • Review and process paperwork for I-693 for refugees.
  • 4-7 p.m. (Mon, Wed, Fri)
HEALTHPARTNERS CENTER FOR INTERNATIONAL HEALTHDr. Nunez Pena

451 North Dunlap St
St. Paul, MN 55104

952-967-7201

  • Full I-693 medical exam
  • Review and process paperwork for I-693 for refugees, including vaccinations if needed.
  • Must call for appointment.
HEALTHPARTNERS URGENT CARE – ST. PAUL COMODr. Stanton

2500 Como Ave
St. Paul, MN 55108

952-853-8800

  • Full I-693 medical exam
  • Review and process paperwork for I-693 for refugees, including vaccinations if needed.
IMMIGREAT LLCDr. Gebre

2680 Snelling Ave N
Suite 265
Roseville, MN 55113

651-219-3368

  • Full I-693 medical exam
  • Review and process paperwork for I-693 for refugees, including vaccinations if needed.
MHEALTH FAIRVIEW CLINIC – BETHESDADr. Weinmann

580 Rice St
St. Paul, MN 55103

651-227-6551

  • Full I-693 medical exam
  • Review and process paperwork for I-693 for refugees, including vaccinations if needed.
  • I-693 visits are ONLY available to the clinic’s current or former primary care patients.
MHEALTH FAIRVIEW CLINIC – ROSELAWNDr. Letts

1983 Sloan Place
Suite 1
St. Paul, MN 55117

651-326-5700

  • Full I-693 medical exam
  • Review and process paperwork for I-693 for refugees, including vaccinations if needed.
MINNESOTA OCCUPATIONAL HEALTHDr. Swann

1661 St. Anthony Ave
2nd Floor
St. Paul, MN 55104

651-968-5300

  • Full I-693 medical exam
  • Review and process paperwork for I-693 for refugees, including vaccinations if needed.
MY MEDICAL CLINIC

Dr. Anand

Dr. Anand

1560 Beam Ave
Suite F
Maplewood, MN 55109

651-340-1445

  • Full I-693 medical exam
  • Review and process paperwork for I-693 for refugees, including vaccinations if needed.
REVIVE MD CLINICDr. Morales

821 Raymond Ave
Suite 230
St. Paul, MN 55114

651-644-6002

  • Full I-693 medical exam
  • Review and process paperwork for I-693 for refugees, including vaccinations if needed.
ST. PAUL CLINICDr. Yang

301 West University Ave
St. Paul, MN 55103

651-447-7113

  • Full I-693 medical exam
  • Review and process paperwork for I-693 for refugees, including vaccinations if needed.
ST. PAUL FAMILY MEDICAL CENTERDr. Xiong

1239 Payne Ave
St. Paul, MN 55130

651-209-8350

  • Full I-693 medical exam
  • Review and process paperwork for I-693 for refugees, including vaccinations if needed.
UNIVERSITY OF SAINT THOMAS CENTER FOR WELL-BEINGDr. Votel-Kvaal

2115 Summit Ave
Center for Well-Being
St. Paul, MN 55105

651-962-6750

  • Full I-693 medical exam
  • Review and process paperwork for I-693 for refugees, including vaccinations if needed.
  • I-693 visits are only available to current University of Saint Thomas students.
WEST SIDE COMMUNITY HEALTH SERVICESDr. Benfield

153 Cesar Chavez St
St. Paul, MN 55107

651-222-1816

  • Full I-693 medical exam
  • Review and process paperwork for I-693 for refugees, including vaccinations if needed.
  • I-693 visits are only available to clinic patients who have had at least 3 appointments at this location within the past 2 to 5 years.

Scott County

AgencyCivil SurgeonAddress/PhoneServices Offered
ARISE MEDICAL AND WELLNESSDr. Wilmot-Desouza

7447 Egan Dr 
Suite 207
Savage, MN 55378

952-522-6344

  • Full I-693 medical exam
  • Review and process paperwork for I-693 for refugees, including vaccinations if needed.
MINNESOTA OCCUPATIONAL HEALTHDr. Kohlenberg

4360 12th Ave East
Shakopee, MN 55379

651-968-5300

  • Full I-693 medical exam
  • Review and process paperwork for I-693 for refugees, including vaccinations if needed.

Stearns County

AgencyCivil SurgeonAddress/PhoneServices Offered
ODAM MEDICAL GROUPDr. Larbi-Odam

3405 3rd St. N
St. Cloud, MN 56303

320-774-3800

  • Full I-693 medical exam
  • Review and process paperwork for I-693 refugees, including vaccination if needed.

Washington County

AgencyCivil SurgeonAddress/PhoneServices Offered
WOODBURY DIRECT PRIMARY CAREDr. Augustson

8360 City Centre Dr
Woodbury, MN 55125

651-315-7419

  • Full I-693 medical exam
  • Review and process paperwork for I-693 for refugees, including vaccinations if needed.
Tags
  • refugee international health
Last Updated: 04/30/2025

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