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Form I-910: Application for Civil Surgeon Designation
USCIS Form I-910 is the Application for Civil Surgeon Designation, used by physicians seeking designation to perform immigration medical examinations in the United States. It is not required if performing exams for ICE or CBP detainees.
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USCIS Form I-910 - Application for Civil Surgeon Designation
USCIS Form I-910 is the Application for Civil Surgeon Designation, used by physicians seeking designation to perform immigration medical examinations in the United States. It is not required if performing exams for ICE or CBP detainees.
Risk Radar
Scan points- 1Do not submit a form with foreign language information without a certified English translation.
- 2Filing without including a full English translation for foreign language materials.
- 3Submitting an application with a stamped or typewritten name instead of a signature.
- 4Not providing the required certification details on a translated document.
- 5Forgetting to sign and date any separate sheets accompanying Form I-910.
Plain English
This form allows a physician to officially register with U.S. Citizenship and Immigration Services (USCIS) as a designated civil surgeon. Once designated, this person can conduct medical checks needed for people applying for various immigration benefits. This designation is necessary when completing Form I-693.
Submission Date
- Filing date: Not stated in the official source regarding a specific filing deadline, but if the filer is not a U.S. citizen, they must notify USCIS of a new address within 10 days of moving.
- Preparation window: collect IDs, supporting records, and signatures in advance.
- Final review: verify names, dates, and required fields before submission.
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What this form is for
- Use this form when a physician seeks designation as a civil surgeon to perform immigration medical examinations for individuals applying for an immigration benefit in the United States and completing Form I-693.
- Do not use Form I-910 if you are a military or public health department physician who qualifies for blanket civil surgeon designation by USCIS.
- Check Form G-1055 instead when seeking specific information regarding filing fees applicable to this form.
Form selector
Use this form or another form?
CBP/USCIS Issued I-94
Provides the necessary Form I-94 number and expiration date for submission on Form I-910.
✓ Ensure you provide the correct Departure Number if applicable.
Foreign Language Documents
Required when submitting documents in a foreign language; the translator must certify completeness, accuracy, competence, signature, printed name, and date.
✓ Submitting only the foreign document without translation/certification.
Full English Translation + Certification
Medical Degree(s)
A copy of the original medical school diploma is required; a Certificate from Educational Commission for Foreign Medical Graduates is not acceptable as the sole evidence.
✓ Failing to provide a full English translation for a foreign language diploma.
Copy of Original Diploma + Translation (if needed)
Deadline or filing window
The general filing deadline is not specified, but if the filer is not a U.S. citizen, they must notify USCIS of their new address within 10 days of moving from their previous residence. No extension period is stated in the official source for the initial submission.
Checklist
What you need before filling it out
Medical Degree(s)
Copy of original medical school diploma (and translation if foreign) · Attached to Form I-910
Foreign Language Document
Full English Translation + Translator Certification · Submitted with the document
Form I-94 Details (if applicable)
Form I-94 number and expiration/departure date · Provided within the application submission
Additional Information Sheets
Completed separate sheets for extra data · Submitted simultaneously with Form I-910
Before you submit
- 1Confirm all supporting evidence listed in the Specific Instructions section is included.
- 2Verify that any foreign language documents include a complete English translation and proper certification.
- 3Check that you have attached copies of your medical degree(s) along with their original diplomas.
- 4Ensure that if applicable, the Form I-94 number and expiration date are correctly listed from the CBP/USCIS record.
- 5Verify that all separate information sheets are signed, dated, and reference the correct Page/Part/Item Number of Form I-910.
- 6Confirm that a legal guardian has signed if the applicant is mentally incompetent.
- 7Ensure you have included your CSID Number (if applicable) at the top of each separate sheet.
How to file this form
- 1Complete Form I-910, ensuring all required fields are filled out and properly signed.
- 2Attach copies of your medical degree(s), including a full English translation if the diploma is in another language.
- 3Submit any necessary supplementary sheets (e.g., listing additional data) along with their signatures and referencing details.
- 4Include evidence such as Form I-94 information, making sure to provide the number and expiration date.
- 5Mail or submit all documents to the appropriate USCIS filing location found at www.uscis.gov/I-910 for proof of submission.
Known limitations
- 1A civil surgeon designation via Form I-910 is not required for physicians who perform medical examinations unrelated to an immigration benefit for detainees held by ICE, CBP, and other government entities.
- 2Public health department physicians may use the blanket civil surgeon designation only to complete vaccination assessments for refugees or asylees seeking adjustment of status; they cannot use it for all applications.
- 3If a physician is a military physician who qualifies for blanket designation, they should not use Form I-910 unless specified otherwise.
- 4The four-year practice requirement for physicians (M.D. or D.O.) does not count post-graduate medical training in an internship or residency program, but it can count time practiced during a post-residency fellowship.
Field map
Compact field-by-field guide
Applicant Info
3 items
Your current legal name.
MM/DD/YYYY.
Alien Registration Number if previously assigned.
Details
1 items
The specific reason or legal basis for filing this form.
Evidence
1 items
List of documents supporting this application.
Signatures
2 items
Sign under penalty of perjury.
MM/DD/YYYY.
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Fillable formOpen in Editor->The current edition of USCIS Form I-910 is dated 01/20/25, and the form expires on 03/31/2027; the instructions direct users to www.uscis.gov/I-910 for the most current filing information.
What changed or needs a fresh check
- Edition date — confirm the instructions are 01/20/25.
- Expiration date — confirm the form expires on 03/31/2027.
- Filing Fee — check Form G-1055 for specific fee amounts applicable to Form I-910.
- Signature — verify that all signatures are original, handwritten ink signatures (though photocopies/scans of these originals are accepted).
- Foreign Language Translation — confirm the translator's certification includes their signature, printed name, date, and contact information.
Quick Facts
Downloads
After you file
- 1Keep a copy of the completed Form I-910 for personal records.
- 2If filing online, locate your OAN in your account profile; if mailing, find it on the Account Access Notice sent to you.
- 3If the form is mailed, do not send it to the address listed on page 10 of the instructions (OMB No. 1651-0114).
- 4If an error occurs, a copy of the completed application should be retained for future review.
Sources
- SRCInstructions p.1 — Form I-910 is used by physicians seeking designation as a civil surgeon.
- SRCInstructions p.1 — Civil surgeons conduct immigration medical examinations for individuals applying for an immigration benefit in the U.S.
- SRCInstructions p.1 — Designation is not required for physicians examining detainees held by ICE, CBP, and other government entities.
- SRCInstructions p.1 — Use Form I-910 if seeking designation to perform exams and complete Form I-693.
- SRCInstructions p.7 — To receive designation, a physician must practice medicine (M.D. or D.O.) for at least four years in the U.S.
- SRCInstructions p.8 — A separate sheet must be submitted with Form I-910; it requires typing/printing of name and CSID Number.
Common confusion points
What is the OAN?
The Online Account Number (OAN) identifies immigration records and is not the same as your A-Number.
When do you need to notify USCIS of a new address?
You must notify USCIS within 10 days of moving if you are not a U.S. citizen.
Do I have to use a signature or can it be typed?
USCIS will not accept a stamped name in place of an actual signature on Form I-910.
Workflow map
Related forms and next steps
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Questions about USCIS Form I-910
What is USCIS Form I-910 used for?
This form allows a physician to officially register with U.S. Citizenship and Immigration Services (USCIS) as a designated civil surgeon. Once designated, this person can conduct medical checks needed for people applying for various immigration benefits. This designation is necessary when completing Form I-693.
Who must file USCIS Form I-910?
A physician seeks civil surgeon designation using Form I-910 if they plan to perform immigration medical examinations for immigration benefit applications in the United States and complete Form I-693.
What information does USCIS Form I-910 require?
The form collects information regarding the applicant, details about the practice locations where exams will be done (Part 2), contact information for each clinic/practice (Items 3-11), and declarations made by the person preparing the application.
Where do I file USCIS Form I-910?
For current filing locations, users should visit www.uscis.gov/I-910; do not mail completed Form I-910 to the specific address listed in Item Number 10 on the form itself.
How do I complete USCIS Form I-910?
The applicant must properly complete Form I-910, and if submitting additional sheets, these must also be signed and dated. The filer (or their signing authority) must sign the application; USCIS will not accept a stamped or typewritten name in place of a signature.
What happens if USCIS Form I-910 is filed incorrectly?
Filing immigration fraud by providing false information during medical examinations or engaging in any activity that poses a risk to public health or safety can result from using this form.
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