First Name *
Last Name *
Phone *
Email *
Address *
Country *
Where are you now in your U.S. Physical Therapy application? *
I have applied for credentialing and/or state.
I am about to take the NPTE.I passed the NPTE.
I am looking for employer.
I am waiting for approval of my visa.
Other.Please write on comment below.
Do you currently have a VALID Health Care Worker Certificate?
What kind of visa do you currently have? *
I do not have any U.S. visa
Tourist Visa
Working Visa
Immigrant Visa
I am a U.S. citizen
Are you looking for U.S. Employer right now to petition you with working or immigrant visa?
Have you signed any contract with any agency or employer? If yes please indicate the name of agency/employer. *
Yes
No
Do you attest that you are going to SHOW UP on the agreed date and time of the consultation and no-show fee will be applicable?