Panel Physicians

Technical Instructions for Panel Physicians

The Centers for Disease Control and Prevention (CDC), United States Public Health Service (PHS), is responsible for ensuring that noncitizens entering the United States do not pose a threat to the public health of this country. The medical examination required by CDC regulations is a means of evaluating the health of persons applying for entry into the United States.

Panel physicians are medically trained, licensed, and experienced medical doctors practicing overseas who are appointed by the local US embassy or consulate. More than 760 panel physicians perform overseas predeparture medical examinations in accordance with requirements, referred to as technical instructions, provided by the Centers for Disease Control and Prevention’s Division of Global Migration and Quarantine, Quality Assessment Program (QAP).

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 Department of State website.

Technical Instructions

These instructions are in accordance with CDC regulations and are for the use of panel physicians evaluating persons applying for immigrant or refugee status, as well as certain non-immigrants who are required to have an overseas medical examination.

For any questions about these Technical Instructions, please contact the Immigrant, Refugee, and Migrant Health Branch of the Division of Global Migration and Quarantine (DGMQ), Centers for Disease Control and Prevention (CDC), at

Role of the Panel Physician

Panel physicians must follow specific identification procedures, prescribed by the U.S. Department of State, to ensure that the person appearing for the medical examination is the person who is actually applying. The panel physician is responsible for the entire examination, including the required chest radiograph and any necessary laboratory procedures. The panel physician is also responsible for reporting the results of all required tests and consultations on the prescribed forms and for ensuring that the completed medical report forms are sent directly to the consular officer. The panel physician is not responsible for determining whether an applicant is actually eligible to apply to enter the United States; that determination is made by the consular officer after reviewing all records, including the report of the medical examination.

Panel Physicians caring for US-bound Refugees

To promote healthy resettlement, CDC provides guidelines for panel physicians caring for US-bound refugees. The Overseas Refugee Health Guidelines provide panel physicians with supplemental guidance on vaccination, pre-departure treatments for malaria and intestinal parasites and fitness to travel. These activities are coordinated with the International Organization for Migration (IOM).

IOM organizes safe travel for the refugees and securely transmits health information from the overseas medical examination and pre-departure interventions to CDC, which transmits the information to the receiving US healthcare providers. The results of the refugee medical examination are used to facilitate placement in the U.S., and continuity of health care so that persons with medical conditions receive timely follow-up after arrival in the United States.