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Indian Health Service The Federal Health Program for American Indians and Alaska Natives

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Service Commitment

Doctor in white gown

Upon accepting your loan repayment funding, you must agree to an initial two-year service commitment in full-time clinical practice fulfilled at the LRP-approved site and in the position listed on your application. After you've completed your initial two-year commitment, your loan repayment contract may be extended annually at the same Indian health facility for an additional one-year service commitment in full-time clinical practice until your qualified loans are paid.

If you are currently employed by an Indian health facility:
Your contract begins on the date that the US Department of Health and Human Services (HHS) Secretary's delegate signs your contract, not your first day of practice.

If you are NOT currently employed by an Indian health facility:
Your two-year service commitment begins on your first day of practice, not the date the Secretary's delegate signed the contract. Your service commitment must begin no later than September 30 of the fiscal year that you signed your contract.

If you are unable to fulfill your service commitment because you have been terminated, resigned or transferred sites without approval, you will be in breach of your contract [PDF - 625KB].