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Statistically, most J-1 physicians get waivers through the Conrad State 30 program, meaning that they gain waiver sponsorship through the state's Department of Health. However there are some other alternative waiver strategies.
Many physicians think they can get a waiver if their home country issues a release statement saying that the home country has no objection to J-1 physicians staying in the United States. Unfortunately, this type of release statement is simply not grounds for a foreign physician to get a waiver of the home residence obligation.
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