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1. Parties: Identification of physician and employer/facility
2. Background: Context of the NIW application and service commitment
3. Definitions: Key terms including HPSA, MUA, full-time employment
4. Service Commitment: Five-year service requirement details and location
5. Employment Terms: Work schedule, duties, and compliance requirements
6. Reporting Requirements: Progress reporting obligations and documentation
1. Conrad 30 Provisions: Required if physician is transitioning from J-1 visa
2. Specialty Practice Provisions: Specific requirements for medical specialty practice in designated shortage areas
1. Schedule A - HPSA Documentation: Official designation of service area as HPSA
2. Schedule B - Medical License: Copy of state medical license and credentials
3. Schedule C - Employment Contract: Detailed employment agreement with facility
4. Schedule D - Progress Report Template: Standard form for required progress reporting
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