Job change while on J-1 waiver

[posmd]

Guys, how does one stay on good terms with the local dept of health? Should I call them or what should be done?

Also how do you know for sure which areas/hospitals are considered HPSA? Is there a website or something?

Hadron and posmd, you guys have really helped a lot, I wish I had found this forum a long time ago. God bless.

Call them, chat with them a little, after all it was them who wrote the letter that got your conrad state 30 program spot right.
Let them know how you are settling into the area(don't mention the job part since clearly that will change in the future) but the area might be quite nice right, I for one happen to believe much of HPSA/MUA america offers a very good life.
Then let them know that you are in the midst of planning for your green card application and that you would like their support letter for a physician NIW petition. They will volunteer what they need from you. Then you can plan from there.
Let me tell you from the outset, this will depend on which state you are in. Some state Dep't of health are so friendly that they will practically want to talk this over with you at breakfast, others will be so mean faced that you will feel like sending them for an exorcism of the devil from them. However speaking with them you should be able to get an idea.

 

[hadron]

Some state Dep't of health are so friendly that they will practically want to talk this over with you at breakfast, others will be so mean faced that you will feel like sending them for an excorcism of the devil from them.

Oh, so true.
Some state health departments will go out of their way to facilitate your green-card petition, knowing that you will stay for at least two more years and serve their citizens. Other have this buerocratic 'what benefit do I have from signing this letter' attitude that is based on minimizing their potential for making errors by minimizing the number of decisions they make (It is more like you are the antichrist and they are the exorcist at times).