WAC 246-562-080
Criteria for the physician. (1) The
physician must not have a J-1 visa waiver pending for any
other employment offer. Physicians must provide a letter
attesting that no other applications are pending.
(2) Physicians must have the qualifications described in
recruitment efforts for a specific vacancy.
(3) Physicians are considered eligible to apply for a
waiver when:
(a) They have successfully completed their residency or
fellowship program; or
(b) They are in the final year of a residency or
fellowship program, and the physician provides a letter from
their program that:
(i) Identifies the date the physician will complete the
residency or fellowship program; and
(ii) Confirms the physician is in good standing with the
program.
(4) Physicians must provide direct patient care.
(5) The physician must comply with all provisions of the
employment contract.
(6) The physician must:
(a) Accept medicaid assignment; and
(b) Post and implement a sliding fee discount schedule;
and
(c) Serve the low-income population; and
(d) Serve the uninsured population; and
(e) Serve the shortage designation population; or
(f) Serve the population of a local, state, or federal
governmental institution or corrections facility as an
employee of the institution.
(7) Physicians must have an active Washington state
medical license. The applicant may substitute a copy of the
license application and request an exception if the
application for a Washington state medical license was
submitted to the Washington state medical quality assurance
commission four or more weeks prior to submission of the visa
waiver application.
(8) Physicians must be an active candidate for board
certification on or before the start date of employment.
(9) Physicians must provide the following documentation:
(a) A current Curriculum Vitae;
(b) U.S. Department of State Data Sheet, Form DS-3035;
(c) All DS-2019/IAP-66 Forms (Certificate of Exchange
visitor status);
(d) Letter from residency program if applying as a
primary care physician or from fellowship program if applying
as a specialist that:
(i) Addresses the physician's interpersonal and
professional ability to effectively care for diverse and
low-income people in the United States; and
(ii) Describes an ability to work well with supervisory
and subordinate medical staff, and adapt to the culture of
United States health care facilities; and
(iii) Documents level of specialty training, if any; and
(iv) Is prepared on residency or fellowship program
letterhead and is signed by residency or fellowship program
staff or faculty; and
(v) Includes name, title, relationship to physician,
address and telephone number of signatory.
(e) Physician attestation statement;
(f) No objection statement;
(g) Personal statement from physician regarding reason
for requesting waiver;
(h) I-94 Entry and Departure cards; and
(i) G-28 from attorney, when applicable.
[Statutory Authority: Chapter 70.185 RCW and Public Law
108-441. 06-07-035, § 246-562-080, filed 3/8/06, effective
4/8/06. Statutory Authority: Chapter 70.185 RCW. 03-19-054,
§ 246-562-080, filed 9/11/03, effective 10/12/03; 02-19-084, §
246-562-080, filed 9/16/02, effective 10/17/02; 00-15-082, §
246-562-080, filed 7/19/00, effective 8/19/00; 98-20-067, §
246-562-080, filed 10/2/98, effective 11/2/98.]