Advanced Physician J-1 Waiver Compliance
Can a Conrad Physician Work at More Than One Location?
Multiple locations can raise three separate questions: whether the state approved the sites, whether each location satisfies the applicable Conrad shortage-area or Flex rules, and whether the H-1B petition and labor condition application properly cover the places of employment.
Reviewed by Peter Messersmith ·
2026-09-14
Start with the approved Conrad arrangement
The state request, employment contract, facility documentation, and waiver package identify the employment on which the waiver was based.
Each site's shortage-area status may matter
Depending on whether the case is a standard shortage-area or Flex placement, the additional site can affect the federal and state basis supporting the waiver.
H-1B worksite rules apply independently
DOL ties H-1B obligations to the actual place of employment, including labor condition application and notice requirements.
State requirements can be stricter
Some state Conrad programs impose specific restrictions or approval requirements for satellite sites, split schedules, and site changes.
Frequently Asked Questions
Can a Conrad physician split time between clinics?
Potentially, but the state waiver terms, shortage-area rules, contract, and H-1B worksite coverage must all be reviewed.
Does every site need H-1B coverage?
H-1B place-of-employment and LCA rules apply to the locations where the physician actually works.
Can the state impose additional requirements?
Yes.
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