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 Other Sexually Transmitted Diseases Technical Instructions were replaced with the Gonorrhea Technical Instructions. The Gonorrhea Technical Instructions are to be followed by panel physicians as soon as possible and no later than October 1, 2016 and by civil surgeons for gonorrhea screening and treatment as soon as possible and no later than August 1, 2016.
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
As of October 1, 2013, panel physicians in all countries must be using the complete Cultures and Directly Observed Therapy (DOT) Tuberculosis Technical Instructions (CDOT TB TIs).
New 2013 Technical Instructions for Syphilis and Hansen’s Disease effective January 1, 2013 for both civil surgeons and panel physicians. For more information, see the Frequently Asked Questions for the 2013 Technical Instructions for Syphilis and Hansen’s Disease.
New 2010 Technical Instructions for Physical or Mental Disorders with Associated Harmful Behaviors and Substance-Related Disorders effective June 1, 2010 for both civil surgeons and panel physicians.
Guidance for HIV for Panel Physicians & Civil Surgeons As a result of the Final Rule removing HIV Infection from U.S. Immigration Screening, view the guidance provided for HIV for Panel Physicians and Civil Surgeons effective January 4, 2010.
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.
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.