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Video – Federal IGA J Waivers for Physicians

physician J Waivers Immigration Attorney Carl Shusterman (Former INS Attorney 1976-82) explains how International Medical Graduates (IMGs) and Canadian physicians can obtain J waivers through Interested Government Agency (IGA) applications by Federal Agencies including (1) the Department of Health and Human Services (HHS), (2) the Veterans Administration (VA), (3) the Delta Regional Authority (DRA) and (4) the Appalachian Regional Commission (ARC).

Federal agencies are permitted to sponsor IMGs and Canadian physicians who receive graduate medical education in the U.S. using J exchange visitor status for waivers of the requirement that they return to their home countries for 2 years before they are permitted to return to the United States using H-1B visas, L visas or green cards.

The 4 most active federal agencies sponsoring physicians are the HHS, the VA, the DRA and the ARC. We link to the J waiver programs of each of these agencies.



HHS sponsors primary care physicians in medically-underserved areas across the U.S. The DRA and the ARC also sponsor primary care physicians, but only those practicing within the geographical areas of these agencies. The DRA covers certain counties located adjacent to the Mississippi River Delta. The ARC is composed of various states in the Appalachian Mountain Range in addition to certain Southern states.

The Veterans Administration sponsors both specialists and primary care physicians who agree to work directly for the VA in areas where the agency is unable to locate U.S.-trained physicians to fill vacancies.

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“Very professional law firm. We had a difficult issue and Mr. Shusterman’s office got right onto the case and resolved the issue with USCIS. Because of their efforts, me and my family were able to get our Legal Permanent Residency card. My suggestion to those trying to obtain employment based card. Don’t look for money saving attorney. They will cost you lot more in long run. Go to a law firm which is professional and knowledgeable. It pays in the long term.”
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The Law Offices of Carl Shusterman have assisted over 2,000 International Medical Graduates (IMGs) and Canadian physicians in obtaining J waivers through Interest Government Agency (IGA) waivers, H-1B status and permanent residence over the past 25 years.

Further information is available on our J Waivers for Physicians page.

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