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To sign up as an EMPLOYEE:
Clinical Profile -
Online or
PDF
Application Form -
Online or
PDF
Employment Agreement -
Online or
PDF
Chauncey Authorization Form -
Online or
PDF
Employment Verification Form 1 -
PDF
Employment Verification Form 2 -
PDF
Nurse Self Assess Checklist (pick one depending
on specialty)
1) Long Term Care
-
PDF
2) Med/Surg
-
PDF
3) Emergency Room
-
PDF
4) Critical Care
-
PDF
JCAHO Mandates -
PDF
After the application is done, the following
documents have to be printed and sent back to HealthPro
Staffing Solutions :
Hep B Waiver Form
Sterling Form
Physical Form
I-9
W4
Documents:
Drug Screen Memo,
Payroll Memo
and Timesheets are for the applicant to keep.
If you have
problems with your paycheck, please fill out and
fax
Payroll Adjustment Form to 516-938-2228.
To sign up as INDEPENDENT CONTRACTOR:
Clinical Profile -
Online or
PDF
Application Form -
Online or
PDF
Independent Contractor Agreement -
Online or
PDF
Chauncey Authorization Form -
Online or
PDF
Employment Verification Form 1 -
PDF
Employment Verification Form 2
-
PDF
Allied Self Assess Checklist -
PDF
JCAHO Mandates -
PDF
After the application is done, the following
documents have to be printed and sent back to HealthPro
Staffing Solutions :
Hep B Waiver Form
Sterling Form
Physical Form
I-9
Documents:
Drug Screen Memo,
Payroll Memo and
Timesheets
are for the
applicant to keep.
If you have
problems with your paycheck, please fill out and
fax
Payroll Adjustment Form to 516-938-2228.
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