For Legal Service Providers
Your clients need the I-693. The PCSR can help.
The Pro Bono Civil Surgeon Registry is a self-service directory of USCIS-designated civil surgeons offering pro bono, sliding-scale, or reduced-cost I-693 exams. Once your organization is verified, you receive access to the directory and contact civil surgeons directly to schedule appointments for your clients.
Who the directory serves.
The directory is available to attorneys, DOJ accredited representatives, paralegals, and legal directors at organizations representing immigrant clients in cases requiring an I-693 medical examination.
The range of cases PCSR supports.
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Special Immigrant Juvenile Status
Particularly urgent given the April 2026 EB-4 Visa Bulletin advancement (Final Action Date July 15, 2022; Dates for Filing before January 1, 2023).
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Asylum Adjustment
Adjustment of status for asylees and refugees who have become eligible for lawful permanent residence.
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U Visa & T Visa
Adjustment of status for qualifying crime victims (U visa) and trafficking survivors (T visa) who have met eligibility thresholds.
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VAWA Self-Petitioners
Adjustment of status for survivors of abuse who have self-petitioned under the Violence Against Women Act.
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Family-Based Adjustment
Adjustment of status for family-based petitions where the cost of a civil surgeon exam creates a barrier to filing.
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Not Sure?
If your client's case requires an I-693 medical exam and cost is a barrier, the directory is worth reviewing. PCSR serves a broader range of adjustment pathways than listed here.
The State Department has warned that retrogression may occur later this fiscal year — file as soon as possible.
From access request to exam.
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.
Submit an access request
Complete the short access request form with your organization, your role, your service area, and the approximate volume of clients you anticipate referring.
PCSR verifies your organization
We confirm your organizational affiliation before granting access. This protects participating civil surgeons from unverified outreach.
Directory access granted
Once verified, you receive access to the directory — a list of participating civil surgeons with practice location, contact information, ages served, languages spoken, and fee arrangements.
Contact civil surgeons directly
Identify a suitable civil surgeon in the directory and contact the practice directly to schedule the exam for your client. PCSR is not involved in scheduling or case coordination.
Practical guidance for a smooth exam.
Most I-693 exams, once scheduled, can be completed in a single visit. A few notes that help the process go smoothly:
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Identification
Your client will need government-issued photo ID (passport or state ID). Civil surgeons are required to verify identity.
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Vaccination records
If your client has existing immunization records, bring them. Missing vaccines will typically be administered at the exam.
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Interpretation
Many participating civil surgeons have in-house language capacity; for less common languages, arrange interpretation in advance.
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Sealed form
The completed I-693 must remain sealed in its original envelope until submitted with the I-485. Do not open it.
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Validity
A signed I-693 is generally valid for USCIS filing for two years from the date of signature.
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Directory updates
If a civil surgeon in the directory is no longer able to accept pro bono appointments, or if you notice an entry that needs correction, email PCSR so we can keep the directory accurate for everyone.
A growing national network.
PCSR currently includes civil surgeons across multiple regions of the United States, with particular depth in the Midwest and ongoing recruitment in areas of greatest need. The directory is continuously updated as new civil surgeons enroll.
If your client’s state or metropolitan area is not yet represented in the directory, submit the access request anyway. PCSR uses demonstrated legal-services demand to prioritize where we recruit next, so your request itself is useful data even when no current listing fits your client.
