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: 47KB/7 pages)
Updated 2/12
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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: Section 5. Vaccinations
- Part 5: Civil surgeon's certification
OR - Part 6: Health departments participating in the blanket civil surgeon designation should place the official stamp or raised seal (whichever is customarily used by that specific health department) on the vaccination supplement, and the attending health department physician must sign it. The signature on the vaccination supplement may be the physician’s actual (original) or stamped signature.
* |
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 adult uninsured refugees and immigrants, some immunizations may be available at low-cost at the local public health agency in the county in which they reside. Persons 18 years and under are eligible for the MnVFC program. NOTE: Prices may vary among clinics. |
For More Information
- CDC offers guidance on the Medical Examination of Immigrants and Refugees. Attention: Non-MDH link
- A complete I-693, Report of Medical Examination and Vaccination Record is available from the U.S. Citizenship and Immigration Services (USCIS). Attention: Non-MDH link
- Technical Instructions for Civil Surgeons is available from CDC. Attention: Non-MDH link
- Additional guidance is available from the MDH Refugee Health Program at 651-201-5414.
Minnesota Civil Surgeons List
Agency |
Civil Surgeon and Contact Information |
Notes |
| AFFILIATED COMMUNITY MEDICAL CENTERS
|
Dr. Mellema 1010 Wilmar Ave. SW 320-231-5029 |
|
Dr. Kremer 1420 E. College Drive 507-532-1114
|
||
ALTRU HEALTH SYSTEM |
Dr. Anderson 711 Delmore Drive 218-463-1365 |
|
AM PHYSICIANS, P.A. |
Dr. Mirman 4201 Excelsior Blvd. 952-933-8900
|
No insurance accepted. |
| AMERICAN IMMIGRATIONS OF TWIN CITIES MEDICAL CLINIC | Dr. Oldenburg 3264 W. Lake St. 612-285-9996 |
For vaccination assessment, paperwork completed same day; all other paperwork returned within 2-3 days. Appointments generally available within 2 days. |
ASPEN MEDICAL GROUP |
Dr. Raines 1850 Beam Ave. 651-779-2500 |
Dr. Raines prefers to update immunizations himself, but each individual must check with his/her insurance to make sure services at Aspen would be covered. |
| BOYNTON HEALTH SERVICE | Dr. McCollister 410 Church Street SE 612-625-3222 |
Individual should state that he/she is a refugee and whether he or she needs vaccination assessment or full exam. Due to a heavy patient load, may have to schedule out a month or two. |
COMPLETE HOME HEALTH SERVICES |
Dr. Sirri Nomo-Ongolo Silver Lake Plaza Bldg. 612-788-2273 |
|
CROWN MEDICAL CENTER |
Dr. Onyekaba 1925 First Ave. S. Minneapolis, MN 55403 612-871-4354 |
Physicians specializing in immigrant health care. |
7001 78th Ave. N. 763-566-4535 |
||
CUHCC |
Dr. Haddow 2001 Bloomington Ave. 612-638-0700 |
|
DAKOTA COUNTY PUBLIC HEALTH DEPARTMENT |
Dr. Holtan Dakota County Western Service Center 952-891-7500 |
Processing takes 2-4 weeks after required immunizations received. Must call for an appointment. |
Clinic does not bill insurance. |
||
HEALTHPARTNERS/ |
Dr. Perelman 451 N. Dunlap St. 651-647-2200 |
Does not accept UCare or Metropolitan Health Care. |
HENNEPIN COUNTY COMMUNITY HEALTH DEPT. – IMMUNIZATION SERVICES |
Hennepin County Public Health 3 rotating walk-in locations: Downtown Minneapolis, Brooklyn Center and Bloomington; 612-348-2884 Automated phone line in English, Spanish, Somali, Oromo |
Processing takes up to two weeks. Hennepin mails out most forms when ready. Immunizations are offered only for those who do not have insurance or whose insurance does not cover immunizations. |
Dr. Tsukayama 525 Portland Avenue 612-543-5555 |
Call to schedule exam and assess immunization needs. |
|
MD PHYSICALS, INC. |
Dr. Partida 14135 Cedar Ave. #300 952-431-9655 |
Clinic does not bill insurance. |
MID-MINNESOTA FAMILY MEDICINE CENTER |
Dr. Becker 1520 Whitney Court, Suite 200 320-240-3157 |
Will only do vaccination section of Form I-693 for refugees if established patient. |
| MIDWAY MEDICAL CLINIC | Dr. Radjenovich 119 30th Avenue West 320-763-6452 |
|
| NORTHWORKS OCCUPATIONAL MEDICINE AIRPORT CLINIC | Dr. Isaksen 7550 34th Ave. S. 612-727-1167 |
|
OLMSTED COUNTY PUBLIC HEALTH |
Dr. Trippel 2100 Campus Dr. SE 507-328-7500 |
|
| OPEN CITIES HEALTH CENTER | Dr. Jewett 409 N. Dunlap St. 651-290-9200 |
|
DR. AKBAR SAJADY |
Dr. Sajady 4400 Oliver Ave N 612-522-3391 |
|
ST. PAUL-RAMSEY COUNTY PUBLIC HEALTH |
Dr. Holtan 555 Cedar Street 651-266-1249 |
Clients seen by appointment only. Call to schedule. |
TWIN CITIES OCCUPATIONAL HEALTH AND REHABILITATION |
Dr. Kemper 2520 Pilot Knob Rd. #250 651-224-8264 |
Clinic does not keep vaccines in clinic, provides the documentation and assessment but makes referral for vaccine administration. |
| V KARE CLINIC | Dr. Hussain 11209 Commerce Dr. N. 763-323-6564 |
|
WESTSIDE COMMUNITY HEALTH SERVICES |
Dr. Benfield 153 Cesara Chavez St. 651-222-1816 |
|
WORTHINGTON/ SANFORD CLINIC |
Dr. Patel 1680 Diagonal Road 877-894-6187 |
|
- U.S Citizenship and Immigration Services Civil Surgeon Locator
Complete listing of USCIS-designated civil surgeons. Attention: Non-MDH link
