VisaScreen® renewal applicants who can demonstrate employment in the United States in the health care profession that is designated on their International Commission on Healthcare Professions VisaScreen® certificate are exempt from taking another approved English exam for renewal of their VisaScreen® certificate provided that they meet the following criteria:
1. The period of employment must be for at least 27–36 months — including nine months of the year before the date an applicant submits the renewal application.
2. The employer of the applicant submits an employment summary on corporate letterhead with the appropriate signature.
A VisaScreen® certificate is required for health care professionals, including nurses, who are educated outside the United States under section 343 of the Illegal Immigration Reform and Immigrant Responsibility Act of 1996.