Attorney Michael Jolic was retained by a physician group to represent them and a foreign medical graduate physician seeking to work in an underserved area in northeast Ohio. The physician’s subspecialty training made the case a difficult one and the application needed to be submitted to the Ohio Department of Health (ODH) first. Following review, ODH recommended the application for approval and forwarded it to the Appalachian Regional Commission (ARC), which reviewed the application and ultimately also recommended it for approval to the US Department of State (DOS). After six weeks, the DOS recommended the application for approval to USCIS, which then issued the final I-612 J-1 waiver approval. The physician has now been placed in an underserved area and will be working in H-1B status for a minimum of three years to comply with the requirements of the J-1 waiver.