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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 6/12/25
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 Lawful 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.
Civil surgeons, physicians officially designated by U.S. Citizenship and Immigration Services or USCIS, need to complete the immigration medical exam. For applicants with refugee status only, the medical director of local public health in participating counties is also authorized to complete the form.
For all applicants, the USCIS Form I-693 must be completed, signed, and submitted in a sealed envelope.
Validity of the I-693 Form
The applicant must submit the I-693 with the I-485. The form, then, remains valid indefinitely, while the USCIS adjudicates the application. Forms that are 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 in the U.S. with a Class A condition (note: this is unusual), the entire immigration medical exam is required, including any necessary vaccinations. In this case, a civil surgeon must complete the exam.
- For refugees who arrived in the U.S. without a Class A condition, only immunizations need to be reviewed and updated. In this case, a civil surgeon or the medical director of local public health in participating counties may 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
- CDC: Medical History and Physical Examination | Technical Instructions for Panel Physicians
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).
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 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. OR,
- Asylum: Afghan evacuees, ineligible for SIV status, 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 may have received a full medical exam by blanket-designated civil surgeons on government-run facilities in the U.S. or abroad. If the medical results were documented on the I-693 immigration medical examination form, or DS-7794 or DS-2054 abroad, this exam will 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.
For Other Immigrants
- A complete medical examination including immunizations is required.
- The exam must be completed by a civil surgeon (a physician officially designated by USCIS).
Considerations from Technical Instructions
Tuberculosis Screening
Tuberculosis screening applies to all non-refugee immigrants or refugees who arrived with a Class A waiver. 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 also have a chest x-ray. Lead shielding is no longer recommended or required for the status adjustment medical examination for any applicants, including those who are pregnant.
Per March 2023 Technical Instructions, civil surgeons should report all Class B0, B1 pulmonary or extrapulmonary, and Class B2 latent TB Infection diagnoses to the Center for Disease Control and Prevention’s eMedical system. All records must be entered into eMedical within five business days after I-693 forms have been completed. While a release of information is not needed, patients should be informed of this referral. The Minnesota Department of Health and local public health departments will be notified of applicants eligible for latent TB infection; public health departments may contact the individuals to offer treatment.
- Tuberculosis (TB) Basics
- Treatment for Latent TB Infection (LTBI)
- What does having latent tuberculosis (LTBI) mean for me? (PDF)
Information on TB transmission and treatment for people immigrating to the United States. Other languages available in brochures dropdown on TB Basics.
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 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 other vaccine 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 Civil Surgeon 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 | Blue Earth | Dakota | Hennepin | Koochiching | Lyon | Mille Lacs | Nobles | Olmsted | Ramsey | Scott | Stearns | Washington
Anoka County
| Agency | Civil Surgeon | Address/Phone | Services Offered |
|---|---|---|---|
| COMPLETE HOME HEALTH SERVICES | Dr. Nomo-Ongolo | 4001 Stinson Blvd NE 612-788-2273 |
|
| MINNESOTA OCCUPATIONAL HEALTH | Dr. Kipp | 600 Coon Rapids NW 651-968-5300 |
|
Blue Earth County
| Agency | Civil Surgeon | Address/Phone | Services Offered |
|---|---|---|---|
| MAYO CLINIC HEALTH SYSTEM | Dr. Korsapati | 1025 Marsh St 507-594-4700 101 Martin Luther King Jr Dr 507-594-6500 |
|
Dakota County
| Agency | Civil Surgeon | Address/Phone | Services Offered |
|---|---|---|---|
| AUSTIN ORTHOPEDICS AND SPORTS MEDICINE | Dr. Kazi | 14501 Burnhaven Dr 952-898-1774 |
|
| CONCENTRA MEDICAL CENTER | Dr. Kemper | 2520 Pilot Knob Rd 651-224-8264 |
|
| MD PHYSICALS, INC. | Dr. Gonzales Dr. Gustafson | 14135 Cedar Ave 952-431-9655 |
|
| MINNESOTA OCCUPATIONAL HEALTH | Dr. Lockheart Dr. Wall | 1400 Corporate Center Curve 651-968-5300 |
|
| MY MEDICAL CLINIC | Dr. Anand Dr. Anand | 4130 Blackhawk Rd 651-340-1445 |
|
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 FAMILY CLINIC | Dr. Hassan | 3638 Central Ave NE 612-345-5535 |
|
| AXIS MEDICAL CENTER | Dr. Semakula | 1801 Nicollet Ave 612-823-2947 |
|
| COMMUNITY-UNIVERSITY HEALTH CARE CENTER (CUHCC) | Dr. Aylward Dr. Borowsky Dr. Brown | 2001 Bloomington Ave 612-301-3433 |
|
| CROWN MEDICAL CENTER | Dr. Nguyen Dr. Onyekaba | 1925 First Ave S 612-871-4354 7001 78th Ave N 763-566-4535 |
|
| HENNEPIN COUNTY MEDICAL CENTER PEDIATRICS | Dr. Maroushek | 730 South 8th St 612-873-6963 |
|
| HENNEPIN COUNTY PUBLIC HEALTH CLINIC | Dr. Rock | 525 Portland Ave 612-543-5555 |
|
| MIDPOINT MEDICAL CLINIC | Dr. Kerandi | 7240 Brooklyn Blvd 763-208-0677 |
|
| MINNEAPOLIS HEALTH CLINIC | Dr. Totoe | 4825 Olson Memorial Highway 763-496-5708 |
|
| MN UC PROVIDERS | Dr. Allegra | 415 17th Ave N 13540 Grove Drive N 952-931-1276 |
|
| MY MEDICAL CLINIC | Dr. Anand Dr. Anand | 12805 Hwy 55 651-340-1445 |
|
| NOBLE PARKWAY MEDICAL CLINIC | Dr. Fawole | 4808 85th Ave N 763-496-1562 |
|
| ODAM MEDICAL GROUP | Dr. Larbi-Odam | 6014 Lakeland Ave N 612-871-2312 |
|
| SUMMIT CLINIC | Dr. Hussain | 12805 Highway 55 763-323-6564 |
|
Koochiching County
| Agency | Civil Surgeon | Address/Phone | Services Offered |
|---|---|---|---|
| ESSENTIA HEALTH | Dr. Vergeldt | 2501 Keenan Dr 218-283-9431 |
|
Lyon County
| Agency | Civil Surgeon | Address/Phone | Services Offered |
|---|---|---|---|
| AVERA MEDICAL GROUP | Dr. Mok | 1521 Carlson St 507-532-1114 |
|
Mille Lacs County
| Agency | Civil Surgeon | Address/Phone | Services Offered |
|---|---|---|---|
| MHEALTH 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 | Dr. Cowl Dr. Haddon Dr. Newcomb Dr. Swift Dr. Thompson Dr. Varkey | 200 First St SW 507-538-3270 |
|
| MEDICAL EVALUATION OFFICE | Dr. Jiang | 3257 19th St 507-772-8606 |
|
Ramsey County
| Agency | Civil Surgeon | Address/Phone | Services Offered |
|---|---|---|---|
| EVERGREEN PRIMARY CARE | Dr. Vang | 570 N Asbury St 651-349-4466 651-349-4880 |
|
| EZY URGENT CARE | Dr. Nola | 1001 Johnson Parkway 651-646-0028 |
|
| HEALTHPARTNERS CENTER FOR INTERNATIONAL HEALTH | Dr. Nunez Pena | 451 North Dunlap St 952-967-7201 |
|
| HEALTHPARTNERS URGENT CARE – ST. PAUL COMO | Dr. Stanton | 2500 Como Ave 952-853-8800 |
|
| IMMIGREAT LLC | Dr. Gebre | 2680 Snelling Ave N 651-219-3368 |
|
| MHEALTH FAIRVIEW CLINIC – BETHESDA | Dr. Weinmann | 580 Rice St 651-227-6551 |
|
| MHEALTH FAIRVIEW CLINIC – ROSELAWN | Dr. Letts | 1983 Sloan Place 651-326-5700 |
|
| MINNESOTA OCCUPATIONAL HEALTH | Dr. Swann | 1661 St. Anthony Ave 651-968-5300 |
|
| MY MEDICAL CLINIC | Dr. Anand Dr. Anand | 1560 Beam Ave 651-340-1445 |
|
| REVIVE MD CLINIC | Dr. Morales | 821 Raymond Ave 651-644-6002 |
|
| 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 |
|
| UNIVERSITY OF SAINT THOMAS CENTER FOR WELL-BEING | Dr. Votel-Kvaal | 2115 Summit Ave 651-962-6750 |
|
| WEST SIDE COMMUNITY HEALTH SERVICES | Dr. Benfield | 153 Cesar Chavez St 651-222-1816 |
|
Scott County
| Agency | Civil Surgeon | Address/Phone | Services Offered |
|---|---|---|---|
| ARISE MEDICAL AND WELLNESS | Dr. Wilmot-Desouza | 7447 Egan Dr 952-522-6344 |
|
| MINNESOTA OCCUPATIONAL HEALTH | Dr. Kohlenberg | 4360 12th Ave East 651-968-5300 |
|
Stearns County
| Agency | Civil Surgeon | Address/Phone | Services Offered |
|---|---|---|---|
| ODAM MEDICAL GROUP | Dr. Larbi-Odam | 3405 3rd St. N 320-774-3800 |
|
Washington County
| Agency | Civil Surgeon | Address/Phone | Services Offered |
|---|---|---|---|
| WOODBURY DIRECT PRIMARY CARE | Dr. Augustson | 8360 City Centre Dr 651-315-7419 |
|