What does a Saint-Alphonse-de-Granby therapist actually spend to reach a first American shift?

The immigration fees are the small part. A Canadian citizen may apply at a port of entry or preclearance, and an employer petition on Form I-129 carries the fee shown in the USCIS fee schedule. Licence verification, examinations and credential evaluation are usually the larger and slower expenditure, and none of it is an immigration cost.

Budget the regulator, not the border

Set the two ledgers apart before deciding anything. On the immigration side sit the fee collected at the port for an in-person application, or the petition fee and any optional premium processing where an employer files instead, all of which are published in Form G-1055 and change periodically, so the schedule should be read rather than remembered. On the professional side sit primary-source verification of her Quebec education, examination and jurisprudence fees, the state board's own application charge, and often a service that transmits verified credentials between regulators.

Add certified translation of any document not in English, which is required rather than optional. Add the cost of the interval itself, because a therapist waiting on a licence is not earning at either end. An adviser's review of the offer letter is small against all of this and is the item most likely to prevent a wasted trip.