Register your practice

Tell us about your practice and the civil surgeon on staff. We'll review and email your primary contact a sign-in link once approved.

Practice

Practice name *

Group NPI (optional)

Where the medical exam is performed. Populates I-693 Part 7.

Street *

Apt., Ste., or Flr.

Number

City *

State *

ZIP *

Same as physical exam location

The USCIS-designated civil surgeon for this practice. We'll verify against the USCIS designated-CS list during review.

First name *

Last name *

USCIS designation date (optional)

The person who will administer this practice. Once approved, we'll email them a sign-in link.

Email *

Phone *

Mobile (optional)

By submitting, you confirm the civil surgeon named above is currently designated by USCIS. We review every application before approval.