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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 5/31/22
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 September 2018 Technical Instructions, 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). Civil surgeons should report LTBI diagnoses to the Minnesota Department of Health within 30 days of I-693 completion, using the Minnesota Latent TB Infection (LTBI) Reporting Form (PDF). While a release of information is not needed, patients should be informed of this referral.
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 Doctor who is authorized by the U.S. Citizenship and Immigration Services.
- CDC offers guidance on:
- 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 County
Agency |
Civil Surgeon |
Address/Phone |
Services Offered |
FAIRVIEW-ANDOVER |
Dr. Gebre |
13819 Hanson Blvd NW 855-324-7843 |
|
Dakota County
Agency |
Civil Surgeon |
Address/Phone |
Services Offered |
AUSTIN ORTHOPEDICS AND SPORTS MEDICINE |
Dr. Kazi |
14501 Burnhaven Drive 952-898-1774 |
|
DAKOTA COUNTY PUBLIC HEALTH DEPARTMENT |
Dr. Stiffman |
Dakota County Western Service Center 952-891-7500 |
|
MD PHYSICALS, INC. |
Dr. Partida-Ruesga |
14135 Cedar Ave. #300 952-431-9655 |
|
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. Mutnik Dr. Semakula |
1801 Nicollet Ave. 612-823-2947 |
|
BOYNTON HEALTH SERVICE |
Dr. Park Dr. Risdahl |
410 Church St. SE 612-625-3222 |
|
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 |
|
MAPLE GROVE MEDICAL CENTER |
Dr. Saleem |
9855 Hospital Dr. 763-581-5800 |
|
MIDPOINT MEDICAL CLINIC |
Dr. Kerandi |
7240 Brooklyn Blvd. 763-208-0677 |
|
MULTICULTURAL HEALTH SERVICES |
Dr. Townley |
2330 Central Ave NE 612-781-1212 |
|
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 612-362-4111 |
|
V KARE CLINIC |
Dr. Hussain |
11209 Commerce Drive N 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 |
AFFILIATED COMMUNITY MEDICAL CENTERS-MARSHALL |
Dr. Kremer Dr. Odland |
1521 Carlson 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- PREVENTIVE MEDICINE DIVISION |
Dr. Cowl Dr. Hagen Dr. Molella Dr. Swift |
200 First St. 507-284-4340 |
|
OLMSTED COUNTY PUBLIC HEALTH |
Dr. Molella |
2100 Campus Drive SE 507-328-7500 |
|
Ramsey County
Agency |
Civil Surgeon |
Address/Phone |
Services Offered |
CENTRAL MEDICAL CLINIC |
Dr. Morales |
393 N Dunlap St. LL34 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 |
|
HEALTHEAST ROSELAWN CLINIC |
Dr. Everson |
1983 Sloan Place 651-326-5700 |
|
HEALTHPARTNERS CENTER FOR INTERNATIONAL HEALTH |
Dr. Perelmen |
451 North Dunlap St 952-967-7201 |
|
MINNESOTA OCCUPATIONAL HEALTH |
Dr. Kipp |
1661 St. Anthony Ave. 651-968-5300 |
|
MY MEDICAL CLINIC |
Dr. Ahsan Dr. Anand Dr. Anand |
1560 Beam Ave. 651-340-1442 |
|
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 |
|
UNITED FAMILY MEDICINE |
Dr. Ali |
1026 7th St W 651-241-1000 |
|
WEST SIDE COMMUNITY HEALTH SERVICES |
Dr. Benfield Dr. Nesvig |
153 Cesar Chavez St. 651-222-1816 |
|
Roseau County
Agency |
Civil Surgeon |
Address/Phone |
Services Offered |
ALTRU HEALTH SYSTEM |
Dr. Anderson |
711 Delmore Drive 218-463-1365 |
|
Stearns County
Agency |
Civil Surgeon |
Address/Phone |
Services Offered |
ODAM MEDICAL GROUP |
Dr. Larbi-Odam |
3405 3rd St. N 320-774-3800 |
|