Alabama j 2026

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The document is the Alabama J-1 Physician Practice Status Report, revised in March 2011, intended for physicians with approved J-1 visa waivers under the Alabama State-30 and ARC Waiver Programs. It requires physicians to report their practice details, including service type, practice sites, work hours, patient visits, and compliance with sliding fee scales for uninsured patients. The report must be submitted upon starting work and every six months until the completion of a three-year service obligation.

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Click ‘Get Form’ to open the Alabama J form in the editor.
Begin by filling out Part 1, which requires your name, type of service, and practice sites. Ensure all entries are typed or printed clearly.
Indicate the report number by circling either 'Initial Report' or '6 Month Report', and provide the relevant dates for your practice duration.
Complete your typical work schedule for each day of the week, including start and end times, along with meal breaks.
In the patient treatment section, enter the total number of patient visits and categorize them according to Medicare, Medicaid, and other payment types.
Finally, sign and date the form at the bottom of Part 1. Ensure that all information is accurate before submission.

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2011	4.9 Satisfied (222 Votes)

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