The Official Nature of Civil Surgeon Findings

Form I-693 findings are official medical determinations made by a USCIS-designated civil surgeon. USCIS relies on these findings to evaluate an applicant's admissibility. The civil surgeon's role is to document findings objectively and in accordance with USCIS medical examination guidelines.

Unlike a routine medical opinion, civil surgeon findings carry official weight in the immigration process. This does not mean they are infallible, but it does mean that disagreeing with them requires a formal process.

Requesting a Review From Your Civil Surgeon

If you believe a finding on your Form I-693 is incorrect, the first step is to contact your civil surgeon and request a review. Explain your concern specifically and provide any supporting documentation — such as prior medical records or test results — that contradicts the finding.

A reputable civil surgeon will take your concern seriously and review the relevant documentation. If they agree that an error was made, they can issue a corrected form.

Seeking a New Examination

If you are not satisfied with your civil surgeon's response, you can seek a new examination from a different USCIS-designated civil surgeon. The new civil surgeon will perform an independent examination and complete a new Form I-693.

Keep in mind that the new civil surgeon is not bound by the findings of the previous one. They will make their own independent determination based on the examination and available documentation.

The Waiver Process for Adverse Findings

If a civil surgeon documents a finding that makes you inadmissible — such as a communicable disease of public health significance or a substance use disorder — you may be eligible to apply for a waiver of inadmissibility.

A waiver is a formal request to USCIS to overlook a ground of inadmissibility based on specific circumstances. The waiver process is complex and typically requires the assistance of an immigration attorney.

Consult Your Immigration Attorney

Before taking any action in response to an adverse finding on Form I-693, consult your immigration attorney. Your attorney can advise on whether the finding is likely to affect your case, whether a review or new examination is warranted, and whether a waiver application is appropriate.