Canadian and Mexican citizens who are licensed registered nurses in a province or state, or who have an interim permit to practice in the state of intended employment, can enter the United States with a TN visa or TN status under NAFTA. 36 Registered nurses are listed as one of the professionals in Appendix 1603.D.1 to Annex 1603 of NAFTA. 37 The nurse must present the VisaScreen certificate, a letter of employment describing the employer, the position, the rate of pay, and a statement that the prospective employment is temporary. The nurse must present evidence of Canadian or Mexican citizenship, as well as a license and nursing credentials. Only Canadian or Mexican citizenship is required—not birth in Canada or Mexico.
Canadian nurses are visa exempt; however, Mexican applicants must apply for a visa at a consulate in Mexico. Many Canadian nurses were licensed in the United States by reciprocity and now must take the NCLEX or CGFNS nursing exam to qualify for the Visa Screen certificate or certified statement