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To apply, call or stop by one of our offices, or
begin the application process online. If you prefer, you can also contact us using our
Feedback Form. We look forward to hearing from you.
The following documentation must be received and verified by the
Nurse Providers' staff before we can place you on your first shift:
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Current CA Nursing License
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Current CPR
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Current Fire & Life Safety Card
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Current Identification document (CA ID card/Drivers License/Green Card)
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Social Security Card
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Recent Physical Exam (within the last 12 months)
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Proof of negative PPD/Chest X-ray
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Proof of Immunization for Measles/Mumps/Rubella (MMR) or Titer
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Proof of Immunization for Varicella or Titer
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Proof of Immunization for Hepatitis B or Hepatitis B Waiver
You may download these forms, print them, fill
them out, and fax or mail them to any of our
locations. Or, if you prefer, you may also
fill out these
forms
online.
The following forms are in Word document format:
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