Form I-910, Application for Civil Surgeon Designation, is used by physicians seeking designation as 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling out Part 1, providing your full legal name and any other names used. Ensure accuracy as this information is crucial for identification.
3. In Part 2, list the clinical office locations where you intend to perform immigration medical examinations. Include complete addresses and contact details.
4. Proceed to Part 3 to provide your status in the U.S. This includes indicating whether you are a citizen, permanent resident, or authorized nonimmigrant.
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, sign and date the application. Remember that a valid signature is essential for acceptance.
7. Review all sections for completeness before submitting your application through our platform for a streamlined process.

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