Form I-910, Application for Civil Surgeon Designation and 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin with Part 1, providing your personal information. Answer whether you have been designated as a civil surgeon before and include your full legal name, date of birth, and any other names used.
3. In Part 2, list the clinical office locations where you will perform immigration medical examinations. Ensure to provide accurate contact details as USCIS will use this information for communications.
4. Proceed to Part 3 to confirm your status in the U.S. Select the appropriate box indicating your citizenship or residency status and attach necessary documentation.
5. Complete Parts 4 through 6 by detailing your medical degrees, licenses, and professional experience. Attach copies of relevant documents as required.
6. In Part 7, read the applicant's statement carefully and provide your signature along with contact information. Ensure all fields are filled accurately to avoid delays.
7. If applicable, complete Parts 8 and 9 for interpreter and preparer information respectively. Finally, use Part 10 for any additional information needed.

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