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Originally Posted by waytogo
To start, Happy Fathers Day to all the men here from the states.
Now, when a temporary residence card is about 10 weeks from the expiration date, at what point does the government require you to go in and apply for the permanent card. Also, originally I hired an attorney in Santo Domingo to do all the legwork. Is it exactly the same for the permanent card or can I do this myself without paying once again for professional help? Will it also take another 6 months, and what is the price for the permanent card? Any info. would be greatly appreciated. And, are more medical tests required? 
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You can get started now, the process for the permanent residency is the same as for the provisional. Yes, you have to do the medical again. I would look for professional help in order to save time.