The Travel Nursing and Per Diem Offices
are Joint Commission Accredited
This is now a Website Programming Example site.
These forms are VOID and cannot be filled out
and sent to Millenia Medical.
Jill Tennison, Digital Art/DC,
Abe
Download Applications
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
These are PDF (Portable Document Format) files and will require a reader such as the Adobe Acrobat Reader. You may have to download the Adobe Acrobat Reader from Adobe.com in order to view and print these files properly.
Directions:
There are 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.
Applications with Checklist:
with ER checklist
with ICU checklist
with Maternal-child checklist
with MS checklist
with NNICU checklist
with OR checklist
with PACU checklist
with PEDS checklist
with Psych checklist
with Tele-PCU checklist
Applications for Locum Tenens and Physician Jobs:
Anesthesiology
C.R.N.A.
Nurse Practitioner
Physician Assistant
Primary Care
Radiology
Other Required Forms:
W-4
W-9
I-9
As Needed Forms:
Direct Deposit
Millenia Medical Staffing has hundreds of locum tenens and physician jobs.
Call us at 888.686.6877 or apply using our Online Application today!
Copyright © 2010 Millenia Medical Services, Inc., All rights reserved.