For Physicians
Your civil surgeon designation, put to new use.
If you hold a USCIS civil surgeon designation and can offer even a small number of pro bono, sliding-scale, or reduced-fee I-693 medical exams, your participation in the Pro Bono Civil Surgeon Registry (PCSR) meaningfully expands access for legal aid clients nationwide.
The I-693 is not optional. Access to one is.
Every applicant for adjustment of status to lawful permanent residence must submit a completed Form I-693 medical examination, conducted by a USCIS-designated civil surgeon. For clients represented by legal aid organizations and pro bono attorneys, paying for the exam out of pocket is frequently the final — and sometimes insurmountable — barrier to filing.
This is especially acute right now. The April 2026 Visa Bulletin advanced the EB-4 Final Action Date to July 15, 2022, and opened filing under Dates for Filing for priority dates before January 1, 2023. Hundreds of Special Immigrant Juvenile Status (SIJ) youth and other eligible immigrants can now file for adjustment of status. The State Department has warned that retrogression may occur later this fiscal year.
A single civil surgeon who can offer even two or three pro bono exams per month can change the trajectory of a young person’s immigration case.
Practical, bounded, and on your terms.
PCSR is designed to be low-overhead for participating civil surgeons. You decide how many pro bono slots you can offer, at what fee arrangement, and for which types of clients.
You choose
- Volume. Any number of exams per month, from one to many.
- Fee arrangement. Fully pro bono, sliding scale, reduced flat fee, or a combination.
- Age range. Pediatrics only, adults only, or both.
- Geography. The states and metropolitan areas you serve.
- Language capacity. What you and your staff can accommodate.
- Insurance. Whether you accept Medicaid/CHIP for I-693-adjacent services.
PCSR handles
- The directory. Maintaining an accurate listing of participating civil surgeons and keeping it updated as practices change.
- Verification. Vetting legal service providers before granting them access, so you aren’t fielding outreach from unverified sources.
- Recruitment. Continuing to grow the directory so more clients nationally can reach a civil surgeon.
- Questions. Serving as a point of contact if you need to update your listing, reach a mentor, or share feedback.
PCSR does not match individual clients to civil surgeons or coordinate scheduling. Attorneys with directory access contact your office directly.
A Transparent Workflow
PCSR is a self-service directory. PCSR does not host clinical appointments, collect fees, store medical records, or broker individual referrals. We maintain the directory. Attorneys and civil surgeons coordinate with one another directly.
Complete the intake form
With about ten minutes, you’ll submit your practice details, languages, fee arrangements, and availability.
PCSR verifies your designation
We confirm your civil surgeon status through the USCIS directory and reach out with any follow-up questions.
You appear in the directory
Your listing — practice location, contact, languages, age range, fees — becomes visible, but only to verified legal service providers.
Attorneys contact your office
Attorneys with directory access contact your practice directly to schedule exams. You decide on a case-by-case basis whether to accept each request.
