1) A full-time employment contract, issued and dated within 6 months prior to the date the petition is filed, for the required period of clinical medical practice, or an employment commitment letter from a VA facility, if the physician is an employee. 

2) If the physician will establish his or her own practice, the physician must submit a sworn statement committing to the full-time practice of clinical medicine for the required period, and describing the steps the physician has taken or intends to take to establish the practice;

3) Evidence that the physician will provide full-time clinical medical service in a medically underserved area and in a medical specialty designation by the HHS or in a VA-facility;

4) A letter from a U.S. federal agency or state public health department stating that the foreign physician’s work is or will be in the public interest.  These letters should reflect knowledge of the physician’s qualifications and describe the agency’s background and interest in medical affairs.

4) Evidence of satisfaction or waiver of the J-1 home residency requirement, if the foreign physician has received medical training in the United States as a J-1 exchange visitor.