A civil surgeon is a licensed medical doctor whom U.S. Citizenship and Immigration Services (USCIS) has designated to conduct immigration medical examinations for applicants inside the United States and to complete Form I-693. Civil surgeon designation is specific to immigration medical exams; a clinician who is not designated cannot sign Form I-693. Applicants who are examined outside the United States are instead seen by a panel physician authorized by the U.S. Department of State, using different documentation. USCIS publishes an official tool to locate designated civil surgeons. BlueHive helps applicants and the firms supporting them connect with designated civil surgeons across the provider network.