- Before, During, & After Your Interview (PDF - 273 KB)
- From Training to Service (PDF - 271 KB)
- How to Choose Your Site (PDF - 186 KB)
- HPSAs and Your Site (PDF - 398 KB)
National Health Service Corps Loan Repayment Program (NHSC LRP) awardees commit to serving at least two years of service.
Those two years must be full-time or half-time clinical practice. And, you must serve at an NHSC-approved service site in a Health Professional Shortage Area (HPSA).
Your service commitment begins when your NHSC LRP contract becomes effective. That occurs on the day that the Secretary of Health and Human Services (or their designee) countersigns it.
We expect you to begin service on that day. Any time you serve at the site prior to the contract going into effect will not count towards your service commitment.
Note: Your service contract with us is separate and independent from your employment contract with your NHSC-approved site.
Read the NHSC LRP Application and Program Guidance (PDF - 780 KB) for details on your service commitment.
Your award letter—and your profile in the Customer Service Portal — will note the beginning and projected end dates of your service commitment.
Your last day of service comes two years (to the day) after your start date.
You must work a specified minimum number of hours per week full-time or half-time. That work must be within the profession for which you applied, and we awarded you via the NHSC LRP contract, at your NHSC-approved site(s).
If you need to change your site location, hours, or employment status during your NHSC service commitment, you must submit a Site Status Change Request.
Submit your request via the BHW Customer Service Portal prior to the effective date of change.
We define full-time as at least 40 hours/week, for a minimum of 45 weeks each service year.
Note: Hours vary slightly for certain disciplines. Review the NHSC LRP Application and Program Guidance for details.
Note: There are additional full-time clinical practice requirements by discipline. Review them in the NHSC LRP Application and Program Guidance.
We define half-time as 20-39 hours/week, for a minimum of 45 weeks each service year.
Note: There are additional half-time clinical practice requirements by discipline. Review them in the NHSC LRP Application and Program Guidance.
The Secretary of HHS or their designee may grant you a waiver to allow you to complete your service commitment through half-time service.
To be considered, you must meet the following conditions:
To request a waiver, submit a request via BHW Customer Service Portal.
You may only convert to full-time service if you enter into a new full-time Continuation Contract under the following conditions:
Every six months, we verify that you fulfilled your service commitment by meeting clinical practice requirements.
You complete and sign an In-Service Verification (ISV) form, then send it along to your site administrator to verify your total work hours (paid and unpaid) and full-time or half-time work status. After signing it, they submit it through the BHW Customer Service Portal.
Note: It is your responsibility to ensure that your site administrator submits the ISV on time.
We will work with you to fulfill your service commitment if your site faces a mandatory furlough or a reduction-in-force.
While we cannot waive the minimum clinical practice requirements or the maximum allowable absences in these cases, we will work with you to identify solutions.
We will extend your service end date accordingly.
Note: Once we convert you to half-time, you must complete the remaining service in half-time; there will not be an opportunity to switch back to full-time.
Yes, there are two alternate solutions to continue to receive credit towards your NHSC service. You may:
Use the BHW Customer Service Portal to contact us.
We provide an overview of our policies around taking temporary leave (e.g. vacation/sick leave or maternity/paternity leave) and permanent leave.