Technical Instructions for Civil Surgeons
These are the Technical Instructions for Medical Examination of Aliens used by the Civil Surgeons in the medical examinations conducted in the United States.
- Introduction and Background
- Medical History and Physical Examination
- Tuberculosis
- Syphilis
- Other Sexually Transmitted Diseases
- Hansen’s disease (leprosy)
- Physical or Mental Disorders with Associated Harmful Behaviors and Substance-related Disorders
- Other Physical or Mental Abnormality, Disease or Disability
- Vaccinations
On October 6, 2008, HHS/CDC posted an Interim Final Rule (IFR) regarding regulations that establish requirements for the medical examination of aliens. The IFR does not currently affect the required medical examination performed by civil surgeons. Civil surgeons should continue to follow the procedures outlined in the current Technical Instructions for Civil Surgeons.
Updates for Civil Surgeons
- Guidance based on 2010 Recommendations for the Seasonal Influenza (Flu) Vaccine.
- On January 4, 2010, HIV infection was removed from the list of inadmissible conditions for immigration purposes and from the scope of the immigrant medical examination. See Guidance for HIV for Civil Surgeons.
- Guidance for Option of Using Interferon Gamma Release Assay in Place of Tuberculin Skin Test for Civil Surgeons.
New I-693 Form
The I-693 is available on the U.S. Citizenship and Immigration Services (USCIS) website [PDF - 5 pages]; the I-693 form is not distributed by CDC.
Contact Us:
- Centers for Disease Control and Prevention
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Atlanta, GA 30333 - 800-CDC-INFO
(800-232-4636)
TTY: (888) 232-6348 - New Hours of Operation
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Closed Holidays - cdcinfo@cdc.gov
