Minnesota Civil Surgeons - Minnesota Dept. of Health

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 List (PDF)
Updated 5/16

On this page:
Understanding the Role of the Civil Surgeon
For Immigrants
For Refugees
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. 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 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 U.S. Citizenship and Immigration Services or USCIS) or their designee.
  • The USCIS Form I-693 is used for this exam and must be signed by the civil surgeon.

For Refugees

  • For refugees who arrived to the U.S. without a Class A condition only immunizations* need to be reviewed and updated.
  • For refugees who arrived to the U.S. with a Class A condition the entire medical exam is required, including any necessary vaccinations.
  • Refugees must meet vaccination requirements according to age-appropriate recommendations by the Advisory Committee for Immunization Practices (ACIP). Because completion of a vaccine series often requires several months, applicants are required to complete at least one dose of each vaccine by the time of assessment for the I-693, and are encouraged to follow up with a primary health care provider to complete the series.
  • The USCIS Form I-693 is used to record immunizations and must be signed by the civil surgeon or by a physician affiliated with the local public health agency completing the review. Use the most current I-693, Report of Medical Examination and Vaccination Record. Attention: Non-MDH link
  • All refugees who are applying for adjustment of status and 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:  Interpreter contact information, certification, and signature
      • Part 4:  Civil surgeon’s contact information, certification, and signature
      • Part 7: Vaccination record

*To avoid high out-of-pocket expenses, refugees and immigrants with insurance should go to their own primary clinic to complete or update immunizations prior to contacting a civil surgeon. For uninsured refugees and immigrants, immunizations are usually available at lower cost at the local public health agency in the county in which they reside. NOTE: Prices may vary among clinics.

For More Information

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.

County

Agency

Civil Surgeon and Contact Information

Notes

Dakota

DAKOTA COUNTY PUBLIC HEALTH DEPARTMENT

Dr. Holtan

Dakota County Western Service Center
14955 Galaxie Ave.
Apple Valley, MN 55124

952-891-7500

  • Review and process paperwork for I-693 for refugees, only 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. Partida-Ruesga

14135 Cedar Ave. #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.
Douglas MIDWAY MEDICAL CLINIC

Dr. Radjenovich

119 30th Ave. W.
Alexandria, MN 56308

320-763-6452

  • Full I-693 medical exam
  • Review and process paperwork for I-693 for refugees, including vaccinations if needed.
Freeborn MAYO CLINIC HEALTH SYSTEM / ALBERT LEA

Dr. Ulrich

404 W. Fountain St.
Albert Lea, MN 56007

507-337-6278
507-373-2384

  • Full I-693 Medical exam
Hennepin AA PHYSICIANS

Dr. Axelrod

6545 France Ave So, Ste #125
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. Mirman
Dr. Bacaner

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 CLINIC

Dr. Oldenburg
Dr. Green

3264 W. Lake St.
Minneapolis, MN 55416

612-285-9996

  • Full I-693 medical exam
  • 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 2-3 days. Appointments generally available within 2 days.
BOYNTON HEALTH SERVICE

Dr. Risdahl
Dr. Park

410 Church St. S.E.
Minneapolis, MN 55455

612-625-3222

  • Full I-693 medical exam
  • Review and process paperwork for I-693 for refugees, including vaccinations if needed.
  • Practice is limited to University of Minnesota students, faculty, staff and their dependents 12 years of age and older.
CENTRAL AVENUE CLINIC - NEIGHBORHOOD HEALTHSOURCE

Dr. Price-Isuk

2610 Central Ave NE
Minneapolis, MN 55418

612-781-6816

  • Full I-693 medical exam

CROWN MEDICAL CENTER

Dr. Onyekaba
Dr. Nguyen

100 E. Franklin Ave. Minneapolis, MN 55403

1925 First Ave. S. Minneapolis, MN 55403

6901 78th Ave. N.
Ste. 103, Section B
Brooklyn Park, MN
55445

612-871-2644
763-566-8700

  • Full I-693 medical exam
  • Review and process paperwork for I-693 for refugees, including vaccination if needed.
  • Walk-ins accepted before 4pm.

COMMUNITY-UNIVERSITY HEALTH CARE CENTER (CUHCC)

Dr. Reif
Dr. Borowsky

2001 Bloomington Ave.
Minneapolis, MN 55404-3089

612-638-0700

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

Dr. Vint

3300 Freemont Ave. N.
Minneapolis, MN 55412

612-588-9411

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

Dr. Tsukayama

525 Portland Ave.
Minneapolis, MN 55415

612-543-5555

  • Full I-693 medical exam only
  • Call to schedule exam and assess immunization needs.
HENNEPIN COUNTY MEDICAL CENTER PEDIATRICS

Dr. Maroushek

701 Park Ave.
Minneapolis, MN 55415

612-873-6963

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

DR. AKBAR SAJADY

Dr. Sajady

4400 Oliver Ave. N.
Minneapolis, MN 55412

612-522-3391

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

Dr. Benzie
Dr. Bresette

342 13th Ave. N.E.
Minneapolis, MN 55413

612-362-4111

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

Dr. Hussain

11209 Commerce Dr. N.
Champlin, MN 55316

763-323-6564

  • Full I-693 medical exam only
Kandiyohi AFFILIATED COMMUNITY MEDICAL CENTERS/WILLMAR

Dr. Mellema

1010 Willmar Ave. S.W.
Willmar, MN 56201

320-231-5029

  • Review and process paperwork for I-693 for refugees, including vaccinations if needed.
Koochiching RAINY LAKE MEDICAL CENTER

Dr. Helleloid

2501 Keenan Drive
International Falls, MN 56649

218-283-9431

  • I-693 medical exams available on Tuesdays.
Lyon AFFILIATED COMMUNITY MEDICAL CENTERS/MARSHALL

Dr. Kremer
Dr. Odland

1420 E. College Drive
Marshall, MN 56258

507-532-1114

  • Full I-693 medical exam
  • Review and process paperwork for I-693 for refugees, including vaccinations if needed.
Nobles AVERA WORTHINGTON SPECIALTY CLINICS

Dr. Clark

1216 Ryans Rd. Worthington, MN 56187

507-372-2921

  • Full I-693 medical exam
  • Appointments coordinated through R. Bankston with Nobles County at 507-295-5368.
SANFORD CLINIC WORTHINGTON

Dr. Patel

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 MAYO CLINIC

Dr. Cowl
Dr. Hagen
Dr. Molella
Dr. Buchta

200 First St.
Rochester, MN 55904

507-284-4251

  • Full I-693 medical exam
OLMSTED PUBLIC HEALTH

Dr. Trippel
Dr. Molella

2100 Campus Drive, SE, Suite 100
Rochester, MN 55904

507-328-7500

  • Full I-693 medical exam
Ramsey CENTRAL MEDICAL CLINIC

Dr. Morales

393 N Dunlap St. LL34
St. Paul, MN 55104

651-644-6002

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

COMPLETE HOME HEALTH SERVICES

Dr. Nomo-Ongolo

Silver Lake Plaza Bldg.
4001 Stinson Blvd. N.E. Suite LL32
St. Anthony, MN 55421

612-788-2273

  • Full I-693 medical exam
  • Call to schedule exam and assessment of immunization needs.
EZY URGENT CARE

Dr. Perelman

1001 Jahnson Parkway
St. Paul, MN 55106

651-646-0028

  • Full I-693 medical exam
  • Review and process paperwork for I-693 for refugees, including vaccinations if needed
GILLETTE CHILDREN'S SPECIALTY HEALTHCARE
(Phalen Lifetime Clinic)

Dr. Meininger

200 University Ave. E.
St. Paul, MN 55101

651-290-8707

  • Patients with childhood onset disabilities only.
  • Full I-693 medical exam
  • Review and process paperwork for I-693 for refugees, including vaccinations if needed.
  • Must bring proof of vaccinations as clinic does not provide immunizations. Clinic accepts insurance.
HEALTHEAST ROSELAWN CLINIC

Dr. Letts
Dr. Jewett
Dr. Stanton

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 HEALTH

Dr. Kipp

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

651-968-5300

  • Full I-693 medical exam
ST. PAUL FAMILY MEDICAL CENTER

Dr. Xiong

1239 Payne Ave.
St. Paul, MN 55130

651-209-8350

  • Full I-693 medical exam

WESTSIDE COMMUNITY HEALTH SERVICES

Dr. Benfield
Dr. Nesvig

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
Roseau

ALTRU HEALTH SYSTEM

Dr. Anderson

711 Delmore Drive
Roseau, MN 56751

218-463-1365

  • Full I-693 medical exam only
Washington HEALTHEAST STILLWATER CLINIC

Dr. Restad

2900 Curve Crest Blvd
Stillwater, MN 55082

651-471-5600

  • Full I-693 medical exam only
STILLWATER MEDICAL GROUP

Dr. Hipp

1500 Curve Crest Blvd.
Stillwater, MN 55082

651-275-3330

  • Review and process paperwork for I-693 for refugees, including vaccinations if needed

Updated Friday, April 29, 2016 at 12:53PM