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OUR SERVICES
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MISSION SEARCH FORMSPERMANENT PLACEMENT On-Line Application On-Line Only Education & Degree Check Form On-Line Only Work Authorization Information Form On-Line Only Radiation Oncology Skills Checklist On-Line or PDF Format Physician-Neurologist Skills Checklist On-Line or PDF Format Nurse Practitioner/Physician Assistant Skills Checklist On-Line or PDF Format Authorization to Release Information PDF Format Only If you are interested in a Locum position please submit the forms listed below LOCUM FORMSAll Locum/Interim Consultants are required to provide Mission Search with the following documentation in order to be considered for assignment at our client facilities.On-Line Application On-Line Only Pre-Employment Check List PDF Format Only Background and Education Check Release PDF Format Only Skills Check List Radiation Oncology Skills Checklist On-Line or PDF Format Physician-Neurologist Skills Checklist On-Line or PDF Format Nurse Practitioner/Physician Assistant Skills Checklist On-Line or PDF Format Authorization to Release Information PDF Format Only HIPAA Training On-Line or PDF Format Please submit legible copies of the above listed documents to: Fax: 813-870-9051 or EMail: credentials@MissionSearchUSA.com Locum Timesheet PDF Format Only Locum Assignment Hotel Stay Online Survey On-Line Only LOCUM HEALTH INFORMATION FORMS
Positive PPD annual questionnaire PDF Format Only Varicella history/MMR Immunity form PDF Format Only Health Statement PDF Format Only H1N1 Declination PDF Format Only Seasonal Flu Declination PDF Format Only Immunization Declination PDF Format Only Please submit legible copies of the above listed documents to: Fax: 813-870-9051 or EMail: credentials@MissionSearchUSA.com FOR MORE INFORMATION ON IMMUNIZATIONS, VISIT www.immunize.org TIMESHEETS REMINDERLocum Timesheet PDF Format Only You are responsible for faxing your signed weekly timesheet (blank timesheets provided by MS Accounting or by clicking the above link) by Friday 12:00 AM, EST, of each week worked, to MS Accounting at 1-888 538-5170. In the event your assigned Client supervisor is not available to sign your timesheet, please fax your unsigned timesheet by the Friday 12:00 AM EST deadline nonetheless and notify your Mission Search Consultant that you are in the process of getting the timesheet signed. Upon getting your timesheet signed, fax it again to MS Accounting at 1-888-538-5170. NOTE: YOU WILL NOT BE PAID UNLESS A TIMESHEET IS RECEIVED BY MS ACCOUNTING! If you have any questions about your direct deposit, please contact Mission Search’s Controller, Valerie Sewell at 1-800-410-2009 or email her at vsewell@missionsearchusa.com. Thank you very much for your cooperation and welcome to the exciting world of Mission Search Locums! Contact us for more information |
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Mission Search International
2203 N. Lois Ave. #1225
Tampa, FL 33607
(800) 410-2009
Fax: (813) 870-9051
EMail: Info@MissionSearchUSA.com
Website: MissionSearchUSA.com