
Ill the two year home country residency requirement 8. Current curriculum vitae for the physician 9. An explanation for any time out of J-1status (if applicable) 10. USCIS G-28 Notice of Entry of Appearance from attorney (if applicable) 11. USCIS I-94 entry and departure cards 12. Copy of No Objection letter or a signed statement that a No Objection letter is not required All applications must be received by U.S. postal mail, commercial mail carrier, or be hand delivered. Address for.
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How to fill out the WA DoH 346-003 online
Filling out the WA DoH 346-003 is essential for healthcare providers seeking a physician visa waiver in Washington State. This guide will provide clear, step-by-step instructions to help you complete the form accurately and efficiently.
Follow the steps to successfully complete the WA DoH 346-003 online
- Click ‘Get Form’ button to obtain the form and open it in your preferred online editor.
- Begin by entering the U.S. Department of State Case Number in the designated field. This number is crucial and must be obtained prior to submitting your application.
- Indicate the purpose of the application by checking the appropriate box: Primary Care Application, HPSA Waiver, Specialist Application, or Non-HPSA Waiver.
- Complete the applicant information section, including the name, mailing address, and contact information of the employer responsible for the application.
- Provide the immigration attorney's information if applicable, ensuring accurate contact details and address.
- Fill out the J-1 physician information, detailing the name, email, phone, home country, and Washington State Medical License number.
- List the proposed practice locations, including full street addresses and any HPSA ID associated with them.
- Address the nature of the services to be provided by selecting from the options given and include the appropriate documentation as required.
- Complete the questions regarding the practice location designation, previous healthcare services provided, and sliding fee discount schedule along with required documentation.
- Confirm and provide the required details for recruitment efforts, employment contracts, and compliance with various regulations outlined in the form.
- Review all sections to ensure accuracy and completeness, attach all necessary supporting documents, and ensure they meet the specified order of submission.
- Finally, save your changes, then download or print the completed form for physical submission to the Department of Health address provided in the application instructions.
Complete your WA DoH 346-003 form online today to ensure your application process is smooth and efficient.
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Application for Washington State J-1 Physician Visa Waiver Program ... All U.S. Department...
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