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Employer Request Form

 

Employment / Independent Contractor Application

The need for flexible rehab staffing has never been greater and we lead the way! Make good money doing travel assignments, home health, or nursing home work.

Week day and weekend opportunities with multiple practice settings across Georgia:


            -  Part-time and PRN
            -  Full time
            -  PRN


For more information on joining our team,
contact us directly or complete and submit the form at the bottom of this page

OPTIMUM MEDICAL STAFFING / REHAB STAFFING REQUEST FORM

 

Discipline Requested: PT OT ST
Facility Making Request:
Facility Name:
Address:
City:
State: Zip:
Phone: Fax:
Contact Person:
Contact Position/Title:
Contact Email:
Period Requested:
Number of Days:
Number of Weeks:
Number of Months:
Number of Hours per Day:
Other Important Information:

 

 

 

 

 

950 Desk Length Arm Wheel Chair

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Oxygen Cylinder with Cart

 

 

 

 

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