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Staff Request Form

Part 1: Contact Information

*Indicates a required field
*Facility:
*Your Name:
Department:
Title:
Address 1:
Address 2:
City:
State:   *Zip: 
*Phone:
Fax:
*Email Address:
Have you ever utilized services from Prime HealthCare Staffing in the past?

Part 2: Service Request


Please select a job profession:

(Check all that apply, hold Ctrl key for multiple selections - Mac users, hold Command key)

Please select the type of job setting:

(Check all that apply, hold Ctrl key for multiple selections - Mac users, hold Command key)
 

I am in need of coverage for the following dates:
Beginning     Through



Other Information:


   

Customer Testimonials

Top Ten Reasons to use Prime Healtcare Staffing


As good as Prime HealthCare Staffing is at finding qualified therapists, their greatest attribute may be their communication.
-Outpatient Clinic Director,
Stamford, New York


As specialized as we are, Prime HealthCare Staffing always manages to find a qualified therapist I can use.
-Specialty Hospital Rehab Director,
Dallas, Texas


I've always been happy with the therapists that Prime HealthCare Staffing sends us. More importantly so have my patients.
-Rehab Director,
Colorado Springs, Colorado


I like the fact that Prime HealthCare Staffing stays in touch throughout the work assignment period to make sure everything is going okay.
-Skilled Nursing Facility Administrator,
Grand Rapids, Michigan


When I call Prime HealthCare Staffing, I don't get an endless menu of automated options - I get a human being.
-Human Resources Director,
Boston, Massachusetts


The more specialized the need I try to fill, the more impressed I become with Prime HealthCare Staffing.
-Allied Healthcare Recruiter,
Orange County, California


Prime HealthCare Staffing is so knowledgeable, I literally think of them as an extension of our own HR department.
-Rehab Services Supervisor,
Chicago, Illinois


Sure, Prime HealthCare Staffing offers a lot of highly qualified employees for placement, but what really sets them apart is their knowledge of my patient population and work setting.
-Workers Compensation Program Manager,
Bellevue, Washington