Admission is granted for a period not exceeding three years and is renewable while the employment continues to qualify. The application should be made once the offer letter, the credential file and the state board's timetable agree with one another, because an admission is tied to the work described and a description that is already out of date creates problems later.
Sequence the board, the letter and the border in that order
Work backwards from the first day Anneli can lawfully see a patient in that state. That date depends on the board, not on the hospital's preference, so it should be established first and the offer letter written to match it. Only then does the border step make sense, whether she seeks admission in person as a Canadian citizen needing no visa, or waits for an approved petition and presents it.
Two habits cause avoidable trouble in the interval. Starting clinical work remotely from Ontario for the American employer raises awkward questions about when the employment began and who is directing it. Travelling early to observe, then quietly helping with cases, is productive work performed without the right admission.
Neither should be improvised, and both are easier to avoid once a realistic first day exists on paper.
- USCIS: TN NAFTA Professionals
- U.S. Department of State: USMCA professional workers
- Department of State: 9 FAM 402.17, TN and TD guidance
- USTR: USMCA Chapter 16, Temporary Entry for Business Persons, Appendix 2
- eCFR: 8 CFR 214.6, Citizens of Canada or Mexico seeking temporary entry as business persons
- USCIS: Form G-1055, Fee Schedule