Get Wa Doh 346-003 2002

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

1. Click ‘Get Form’ button to obtain the form and open it in your preferred online editor.
2. 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.
3. Indicate the purpose of the application by checking the appropriate box: Primary Care Application, HPSA Waiver, Specialist Application, or Non-HPSA Waiver.
4. Complete the applicant information section, including the name, mailing address, and contact information of the employer responsible for the application.
5. Provide the immigration attorney's information if applicable, ensuring accurate contact details and address.
6. Fill out the J-1 physician information, detailing the name, email, phone, home country, and Washington State Medical License number.
7. List the proposed practice locations, including full street addresses and any HPSA ID associated with them.
8. Address the nature of the services to be provided by selecting from the options given and include the appropriate documentation as required.
9. Complete the questions regarding the practice location designation, previous healthcare services provided, and sliding fee discount schedule along with required documentation.
10. Confirm and provide the required details for recruitment efforts, employment contracts, and compliance with various regulations outlined in the form.
11. Review all sections to ensure accuracy and completeness, attach all necessary supporting documents, and ensure they meet the specified order of submission.
12. 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.