By way of background, on Sept. 22, 2003, the USCIS issued a memo that changed the old policy, and required nurses and certain other health care workers to present a certificate from the Commission on Graduates of Foreign Nursing Schools (CGFNS) or other equivalent credentialing organizations, at the time of filing of their adjustment of status application.
The old policy allowed nurses to file for adjustment without including the CGFNS certificate, as long as the nurse submitted that certificate by the time of the adjustment of status interview (which might be a year or more after filing). In the meantime, the nurse could obtain work authorization, while waiting for the interview.
However, after that Sept. 22, 2003 memo, there were lots of complaints, as nurses were prevented from filing for adjustment until they obtained the CGFNS certificate. So, USCIS "clarified" its position, stating that its old practice of allowing nurses to file for adjustment of status without the Visa Screen will continue.
Nurses and physical therapists are still one of the best ways to get a green card, as they are "pre-approved" or pre-certified for the job (meaning exempt from obtaining labor certification from the Department of Labor, which adds several additional years to the processing time for a green card).
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