PHYSICIAN JOBS APPLICATION

Thank you for taking the time to download and complete our application. Once we have received your information, a consultant will contact you within 24 hours. Please fax the completed forms to our toll-free fax number:

1-877-463-9447

To download these files, you will need Adobe Acrobat Reader installed on your computer, if you do not have this program, click here to download and install.

Directions:
There several forms that all candidates must complete. While it is not required that you complete these forms now, we cannot place you without this documentation. Select the appropriate form, a PDF file will open in a new window. Print the form, close the window and you will be returned to this page. Once you have printed all applicable forms, complete the forms and fax them to us at: 1-877-463-9447.

REQUIRED APPLICATIONS (choose the most applicable):
Anesthesiology C.R.N.A. Primary Care	Nurse Practitioner Physician Assistant Radiology
OTHER REQUIRED FORMS: W-9 I-9 W-4	AS NEEDED FORMS Direct Deposit

Millenia Medical Staffing has hundreds of locum tenens and physician jobs call us today or apply online today!