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Technical Instructions for Panel Physicians and Civil Surgeons

The Division of Global Migration and Quarantine provides the Department of State (DOS) and the U.S. Citizenship and Immigration Services (USCIS) with medical screening guidelines (referred to as Technical Instructions) for all examining physicians, which outline in detail the scope of the medical examination.

News & Updates

The Technical Instructions have been updated regarding the scope of the medical examination for all applicants.  For details, please see the Syphilis, Gonorrhea, and Medical History and Physical Examination Technical Instructions for Panel Physicians  and the Syphilis, Gonorrhea, and Medical History and Physical Examination Technical Instructions for Civil Surgeons.

As of March 28, 2016, chancroid, lymphogranuloma venerum, and granuloma inguinale are removed from the list of communicable diseases of public health significance.   Therefore, evaluation for these three diseases is no longer required as part of the U.S. immigration medical screening process as of March 28, 2016.   For additional information, please see Part 34 Final Rule issued on January 26, 2016.

Updated Requirements for Panel Physicians to screen for severe acute respiratory syndromes based on Executive Order 13674 signed by the President of the United States on July 31, 2014

For Panel Physicians

Technical Instructions for Panel Physicians

Technical Instructions for Panel Physicians, including the revised Technical Instructions for Vaccination and the revised Technical Instructions for Tuberculosis.

A current listing of panel physicians for a specific U. S. Embassy or Consulate may be obtained by contacting the consular or visa section. Additional information concerning U. S. Embassies and Consulates, including contact information for these sections, is available at the DOS website.

Woman receiving tuberculosis drugs at clinic in Cotonou, Benin

Woman receiving tuberculosis drugs at clinic in Cotonou, Benin

For Civil Surgeons

Technical Instructions for Civil Surgeons

The Technical Instructions for Medical Examination of Aliens used by the Civil Surgeons in the medical examinations conducted in the United States.

Information on civil surgeons in your area is available by contacting the USCIS at 1-800-375-5283 or by visiting the Civil Surgeon locater on the USCIS website.

Also, a current listing of civil surgeons for your area may be obtained by contacting your USCIS field office. Additional information concerning USCIS field offices and contact information for those offices is available at the USCIS website.

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