Forms & Checklists
Your Information Resource
Find quick access to some of the tools you’ll need whether you’re completing the credentialing process or currently traveling with us. If you still need to complete your on-line application get started now! Or simply give us a call at 800-647-3009 and your National Healthcare Staffing recruiter will be happy to help.
Direct Deposit
Existing travelers should print, sign and fax direct deposit forms and changes to 1-800-647-3922. It's that simple!
Handbook
Please read our on-line hand book. After you have completed reading it please print the second page, sign and return the acknowledgement form and fax it to (800) 647.3039.
Benefits Guide
Please review the updated Benefits Guide explaining new Benefits Options and Premiums are located in the Document Center at www.benefitsolver.com.
Skills Checklists
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Critical Care Checklist

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Dialysis Checklist

- Emergency Room Checklist

- Home Health Care Checklist

- Labor, Delivery, Recovery & Postpartum (LDRP) Checklist

- Maternal and Child Checklist

- Medical/Surgical Checklist

- Newborn and Pediatric Checklist

- Occupational Therapy Checklist

- Operating Room Checklist

- PACU/Recovery Room

- Physical Therapy Checklist

- Psychiatric Nursing Checklist

- Technologist/Radiology Checklist

- Telemetry/Stepdown Checklist

- Respiratory Therapy Checklist

- Speech Language Pathology Checklist

- Traveler Application

Pre-Hire Forms
- Age Specific Competency Assessment

- Artificial Nail Ban

- Background Inquiry Authorization

- Confidentiality Statement

- Drug Screen Consent

- Flu Vaccination Declination Form

- Employee Handbook Acknowledgment

- Hepatitis B Vaccine Accept/Decline

- JCAHO Banned Abbreviations

- Latex Allergy Release Form

- Move-In / Move-Out

- Physician's Statement

- Professional References Request

- Information Release Authorization

- Tuberculosis Skin Test

- Voluntary EEO Identification (post-hire)


