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If I am an exchange visitor physician and I plan to work in an underserved area in the U.S., what must I present to obtain a waiver based on an interested U.S. Government agency application?

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If I am an exchange visitor physician and I plan to work in an underserved area in the U.S., what must I present to obtain a waiver based on an interested U.S. Government agency application?

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A. You will need the following: — Data sheet –Processing fee check or money order for $136 — Letter of request from head of the agency, or designated official stating why it is in the public interest that the exchange visitor be granted a waiver of section 212(e) of the INA. — IAP-66 forms — Signed contract for no less that three years and 40 hours a week between physician and facility. — Evidence that the clinic/facility is located in a U.S. Department of Health and Human Services designated Health Professional Shortage Area (HPSA) or Medically Underserved Area (MUA). — Curriculum vitae — “No objection” statement from the visitors government only in cases where the foreign government funding is involved. — Facility statement A statement signed by the head of the facility at which the foreign medical graduate will be employed stating the facility is located in a designated HPSA or MUA area and provides medical care to both Medicaid and Medicare eligible patients, and indigent

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