Other USCIS formsOfficial USCIS form guide

USCIS Form I-910: Application for Civil Surgeon Designation

Quick answer

What is USCIS Form I-910 used for?

Use this form to apply for civil surgeon designation. You do not need to apply for civil surgeon designation if you fall under the limited blanket designations for military physicians and state and local health departments. Please review the Form I-910 Instructions to determine whether you should use this form. For more information, see Volume 8, Part C, Chapter 3 of the USCIS Policy Manual, Blanket Civil Surgeon Designation. U.S. Citizenship and Immigration Services (USCIS) is accepting applications for civil surgeon designation. Applications must be filed in accordance with the instructions for Form I-910. Note that we may exercise discretion in approving civil surgeon designations.

What to prepare before filling I-910

  1. 01

    Confirm that Form I-910, Application for Civil Surgeon Designation, matches the specific benefit, request, verification, or record you need.

  2. 02

    Download the current Form I-910 and its separate instructions from USCIS, then compare the edition date before typing any answers.

  3. 03

    For Form I-910, collect the identity records, receipt or account numbers, dates, addresses, and prior immigration documents that support your answers.

  4. 04

    Follow the official Form I-910 filing method and address; do not assume it can be submitted through a USCIS online account.

Current official filing details

The details below are condensed from the USCIS page reviewed on 2026-07-26. Follow the official page and instructions if they differ from this snapshot.

Edition date

01/20/25. You can find the edition date at the bottom of the page on the form and instructions.

Where to file

File with the USCIS Dallas Lockbox U.S. Postal Service (USPS): USCIS Attn: I-910 P.O.

Box 660812 Dallas, TX 75266 FedEx, UPS, and DHL deliveries: USCIS Attn: I-910 (Box 660812) 2501 S. State Highway 121 Business, Suite 400 Lewisville, TX 75067

Filing fee

You can find the filing fee for Form I-910 by visiting our Fee Schedule page.

Initial evidence

Did you provide the following? Information about your immigration status in the United States; Copies of medical degrees and current U.S. state or U.S. territory medical licenses; and Proof that you meet the professional experience requirement because you have practiced medicine as a physician (MD or DO) for at least four years.

USCIS filing tips

Complete all sections of the form. We will reject the form if these fields are missing: Part 1 – Information About You Previous designation as civil surgeon Family Name Given Name Date of Birth Sex Part 2 – Clinical Office Locations Name of Clinic/Practice Physical Address of the Clinic/Practice Telephone Number Part 3.

Information About Your Status in the United States Select only one box Part 4. Medical Degrees One full entry Part 5.

Medical Licenses One full entry Part 6. Professional Experience One full entry Part 7.

Applicant’s Statement, Contact Information, Declaration, Certification, and Signature Applicant’s Daytime Telephone Number Applicant’s Signature Date of Signature Don’t forget to sign your form. We will reject any unsigned form

Special instructions

For detailed information about the medical examinations: Applicants – Visit our Find a Civil Surgeon page. Civil surgeons – Visit our Designated Civil Surgeons page for resources about the examination and useful links.

Email public.engagement@uscis.dhs.gov to notify us of any changes about your civil surgeon designation (including any changes to contact information listed on the Civil Surgeon Locator).

Official I-910 downloads and filing links

Clerks AI PDF skill

Prepare the PDF from your source documents

Add the blank I-910 PDF and your records. Clerks AI helps ChatGPT or Claude Code map supported facts to fields and flag missing information for review. You still decide eligibility, verify every answer, and follow USCIS filing rules.

Get the AI PDF filling skill

USCIS Form I-910 FAQ

What is Form I-910 used for?

Use this form to apply for civil surgeon designation. You do not need to apply for civil surgeon designation if you fall under the limited blanket designations for military physicians and state and local health departments.

How much does Form I-910 cost?

You can find the filing fee for Form I-910 by visiting our Fee Schedule page.

Can I file Form I-910 online?

The USCIS all-forms directory does not list a general online filing option for this form. Follow the official page for the required filing method.

Related USCIS form guides

Source: U.S. Citizenship and Immigration Services. Independent guide by Clerks AI; not affiliated with USCIS and not legal advice.

Last researched 2026-07-26. Recheck the official page before filing.