Staff Request Form

Part 1: Contact Information *Indicates a required field
*Facility:
*Your Name:
Department:
Title:
Address:
City:
State:		Zip
*Phone:
Fax:
*Email Address:
Have you ever utilized services from Prime HealthCare Staffing in the past?		Yes No

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
Travel		Local Contract
Temporary to Hire		Direct Hire
Education Staffing Services
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