REQUIRED CREDENTIALS
CHIROPRACTOR PER DIEM STAFFING ASSIGNMENTS AND PERMANENT PLACEMENT
Chiropractors Interested in working will be contacted with a link from Ubiquity, our credentialing program, to complete an application and attach documents.
Please complete the form below and prepare by having the following items saved as individual files in your computer:
- Curriculum Vitae (Word format preferred)
- Three Professional References
- Medical and driver Licenses
- Diploma from chiropractic program
- Malpractice Insurance Declaration Page
- Driver’s License or other Government Photo ID
- Voided check or bank name, routing, and account numbers to receive paychecks
- AHCA Level 2 Background Check with Fingerprinting- Florida Only (Forms will be sent to you upon receipt of your CV)
CHIROPRACTOR INFORMATION REQUEST
MEDICAL LOCUM TENENS ASSIGNMENTS AND PERMANENT PLACEMENT
Medical Physicians, Nurse Practitioners, Physician Assistants, and other licensed medical professionals
Medical providers interested in positions will be contacted. Many of the following items may be requested; please have them saved as individual files in your computer:
- Curriculum Vitae (Word format preferred)
- Three Professional References
- Medical License
- Malpractice Insurance Declaration Page
- Driver’s License or other Government Photo ID
