CALIFORNIA

INS CIVIL SURGEONS LIST

INS San Francisco District Office area:  (INS rev. 1/00)
Alameda  ContraCosta  Humboldt  Lassen  Marin  Napa  San Francisco  San Mateo  Shasta  Solano  Sonoma  Stanislaus

INS San Jose Sub Office area:  (INS rev. 6/98)
Monterey San Benito Santa Clara  Santa Cruz

INS Sacramento Sub Office area:  (INS rev. 3/00)
Butte  El Dorado  Glenn  Placer  Sacramento  San Joaquin  Sierra  Sutter  Tulare  Yolo  Yuba

All other California counties  (INS rev. 2/97)

All applicants for adjustment of status are required to have a medical examination.  A civil surgeon who has been designated by the Immigration and Naturalization Service (INS) must conduct the medical examination.  The designated civil surgeon is responsible for the entire medical examination, and will record the results on Form I-693.  The required medical exam consists of a physical examination, a tuberculin (TB) skin test and serologic (blood) test.  The designated civil surgeon must perform these tests in accordance with the Technical Instruction for the Medical Examination of Aliens in the United States, published by the Centers for Disease Control and Prevention (CDC). The Form I-693 will be given to you in a sealed envelope to present to INS.  You should not open the sealed envelope.  The requirements of the medical examination are as follows:

PHYSICAL EXAMINATION:            

Required of ALL applicants

TUBERCULIN (TB) SKIN TEST:

Required of ALL APPLICANTS TWO YEARS OF AGE AND OLDER.  (Applicants under the age of two may be required to have a tuberculin skin test if tuberculosis is suspected, if the applicant has a history of contact with a known TB case, if there is any other reason to suspect TB.)  A chest X-ray is required only if the reaction to the TB skin test is 5mm or greater.

SEROLOGIC (BLOOD) TEST:

Required of ALL APPLICANTS 15 YEARS OF AGE AND OLDER.  The serologic test will include tests for the virus that causes the acquired immune deficiency syndrome (AIDS).  (Applicants under the age of 15 must be tested if there is reason to suspect HIV infection.)