New! Tuberculosis (TB) Medical Consultation Service for U.S. Panel Physicians who are currently using the Culture and DOT Technical Instructions for TB Screening and Treatment is now available online.
Technical Instructions for Panel Physicians
These are the Technical Instructions for Medical Examination of Aliens used by the Panel Physicians in the medical examinations conducted outside of the United States.
- Introduction and Background
- Medical History and Physical Examination
- Tuberculosis Screening and Treatment
- New! Syphilis
- Chancroid, Gonorrhea, Granuloma Inguinale, and Lymphogranuloma Venereum
- New! Hansen’s Disease
- Physical or Mental Disorders with Associated Harmful Behaviors and Substance-related Disorders
- Other Physical or Mental Abnormality, Disease, or Disability
- Communicable Diseases of Public Health Concern
- April 2013 Update to the Technical Instructions for treatment of Other Sexually Transmitted Diseases (chancroid, gonorrhea, granuloma inguinale, and lymphogranuloma venereum). See more »
- Effective January 1, 2013, the 2013 Technical Instructions for Syphilis and Hansen’s Disease replace the 1991 Technical Instructions for these components. For more information, see the Frequently Asked Questions for the 2013 Technical Instructions for Syphilis and Hansen’s Disease.
- 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 Panel Physicians.
- Acceptable Image Formats from Digital Radiography Systems at Panel Physician Sites
Designated Incident Technical Instructions
Information about the Technical Instructions for Designated Incidents is included in the Revision of 42 CFR Part 34 (Medical Examination of Aliens) Updated Screening for Communicable Diseases of Public Health Signifiance -Interim Final Rule (IFR) which was posted by HHS/CDC on October 6, 2008. Additional information regarding the IFR is available on the Laws and Regulations page.
Note: The IFR does not currently affect the required medical examination performed by civil surgeons. Civil surgeons should continue to follow the procedures as provided in the current Technical Instructions for Civil Surgeons.
There are no designated incidents at this time.