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 (PDF)
Updated 12/2018

On this page:
Understanding the Role of the Civil Surgeon
Validity of the I-693 Form
For Immigrants
For Refugees
Tuberculosis Screening
Vaccinations
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 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.

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

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. Applicants should be encouraged to follow up with a primary health care provider to complete the series.

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.

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.

Dakota County

Agency

Civil Surgeon

Address/Phone

Services Offered

DAKOTA COUNTY PUBLIC HEALTH DEPARTMENT

Dr. Stiffman

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

952-891-7500

  • 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. 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.

Hennepin County

Agency

Civil Surgeon

Address/Phone

Services Offered

AA PHYSICIANS

Dr. Axelrod

6545 France Ave. S
Suite 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. 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 CENTER

Dr. Green

Dr. Oldenburg

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. Park

Dr. Risdahl

410 Church St. SE
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

COMMUNITY-UNIVERSITY HEALTH CARE CENTER (CUHCC)

Dr. Borowsky

Dr. Reif

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 pm.
  • Clinic accepts insurance.

CROWN MEDICAL CENTER

Dr. Nguyen

Dr. Onyekaba

100 E. Franklin Ave. S
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.

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.

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.

HENNEPIN COUNTY PUBLIC HEALTH CLINIC

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.

ODAM MEDICAL GROUP

Dr. Larbi-Odam

920 East 28th St.
Suite LL40
Minneapolis, MN 55407

612-871-2312

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

SHERIDAN NEIGHBORHOOD HEALTHSOURCE

Dr. Benzie

Dr. Bresette

342 13th Ave. NE
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 Drive N
Champlin, MN 55316

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

Agency

Civil Surgeon

Address/Phone

Services Offered

ESSENTIA HEALTH

Dr. Helleloid

2501 Keenan Drive
International Falls, MN 56649

218-283-9431

  • I-693 medical exams available on Tuesdays.

Lyon County

Agency

Civil Surgeon

Address/Phone

Services Offered

AFFILIATED COMMUNITY MEDICAL CENTERS-MARSHALL

Dr. Kremer

Dr. Odland

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.

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.
Rochester, MN 55904

507-284-4340

  • Full I-693 medical exam

OLMSTED COUNTY PUBLIC HEALTH

Dr. Molella

2100 Campus Drive SE
Suite 100
Rochester, MN 55904

507-328-7500

  • Full I-693 medical exam
  • Refugees only

Ramsey County

Agency

Civil Surgeon

Address/Phone

Services Offered

CENTER FOR INTERNATIONAL HEALTH

Dr. Perelman

451 N Dunlap St.
St. Paul, MN 55104

952-967-7201

  • Full I-693 medical exam
  • Review and process paperwork for I-693 for refugees.

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 Building
4001 Stinson Blvd. NE
Suite 332
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 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.

HEALTHEAST ROSELAWN CLINIC

Dr. Everson

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.

WEST SIDE 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 County

Agency

Civil Surgeon

Address/Phone

Services Offered

ALTRU HEALTH SYSTEM

Dr. Anderson

711 Delmore Drive
Roseau, MN 56751

218-463-1365

  • Full I-693 medical exam

Stearns County

Agency

Civil Surgeon

Address/Phone

Services Offered

ODAM MEDICAL GROUP

Dr. 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.
Updated Thursday, 18-Apr-2019 14:50:20 CDT