USCIS E-Mail to Civil Surgeons, Dec. 14, 2016:

"Dear Civil Surgeon,

The Centers for Disease Control and Prevention (CDC) of the U.S. Department of Health and Human Services (DHHS), has informed U.S. Citizenship and Immigration Services (USCIS) that it recently updated the Technical Instructions for Civil Surgeons (Technical Instructions, or TIs).

CDC made updates in the following sections of the TIs:

• Medical History and Physical Examination
• Syphilis
• Gonorrhea

USCIS requires designated civil surgeons to follow the TIs when conducting immigration medical examinations of foreign nationals in the United States and when completing Form I-693, Report of Medical Examination and Vaccination Record.

Civil surgeons may view the full TIs and these new updates on the CDC website.

Civil surgeons should address any questions about the TIs directly to CDC. USCIS cannot answer medical questions involving the TIs.

USCIS is providing this notice as a courtesy to civil surgeons. As explained in the USCIS Policy Manual, the Instructions to Form I-910, Application for Civil Surgeon Designation, and the Instructions to Form I-693, civil surgeons are responsible for completing medical examinations according to DHHS regulations and CDC requirements, including the Technical Instructions and any updates posted on the CDC’s website.

Kind regards,

U.S. Citizenship and Immigration Services"