(1) The physician and employer may complete and submit to the Department the Conrad 30 Waiver Program Practice Status Report (DH8012-PHSPM-07/2021), incorporated by reference and available at https://www.flrules.org/Gateway/reference.asp?No=Ref-13381 and at http://www.floridahealth.gov/provider-and-partner-resources/community-health-workers/conrad-30-program-j-1-visa/index.html, on or before June 30 of each year during the employment period.

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    (2) If the physician and employer choose not to submit the form annually, they must submit the form at the end of the employment period in order to receive a completion letter from the Primary Care Office Director.
Rulemaking Authority Florida Statutes § 381.4018(3). Law Implemented Florida Statutes § 381.4018. History-New 8-12-21.