Conrad 30 J-1 Visa Waiver Instruction, Information & Forms

Please contact us at nvpco@health.nv.gov if you have any questions, trouble accessing any of the forms/instructions, issues with any of the formatting, notice any errors, or have suggestions for improvement.

Information, Instructions & Forms

Conrad 30 J-1 Visa Waiver Application Instructions FFY2025 V.7.2025

J-1 Informational Flyer

Conrad 30 J-1 Informational Flyer 

Application Attestation Form v7.2025

Employer and Physician to submit Application Attestation form at time of application.

New Arrival Form

Complete a New Arrival form upon start date.

Physician Rights and Responsibilities Presentation

Upon starting, both the Sponsors/Employers & Physicians participating in the Nevada Conrad 30 J-1 Visa Waiver Program are to read through the Rights and Responsibilities presentation, understand and acknowledge their Rights and Responsibilities.

Physician & Employer Compliance Form

Complete Physician and Employer Compliance form semi-annually. Each April and October for the prior six-month period all employers of physicians practicing medicine in the State of Nevada under a J-1 Visa Waiver supported by the Nevada Division of Public and Behavioral Health (DPBH) are required to confirm that the physician is providing a minimum of 40 hours a week of primary care in a practice site(s) located in an underserved area.

Change of Status Forms

Change of Employer

Change or Addition of Practice Location

Change of Provider Discipline

Board of Health Variance Application

Application to request a variance with the Nevada State Board of Health for any person who, because of unique circumstances, is unduly burdened by a regulation of the State Board of Health and thereby suffers a hardship and the abridgement of a substantial property right may apply for a variance from a regulation. NAC 439.200(1).