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*First Name:
*Last Name:
*Phone:
*E-mail Address:
*Specialty
- i.e.
Telemetry Nurse:
PLEASE CHOOSE:
______________________
::ADMINISTRATION
Bio Engineer
Business/ Office
Director of Clinical Services
Director of HR
Director of Nursing
Finance/ Admin/ Management
General
Human Resources
Marketing Services
Nurse Recruiter
Staffing
Support Staff
______________________
::ALLIED HEALTH
Bio Engineer
Cardiac Cath Lab -non RN
ADental Staff
Dietician
Emergency
Exercise Physiologist
Health Information Management
Hemodialysis
Home Health Services
Hospice
Laboratory
Medical Records
Medical Staff Assistant
Medical Tech
Mental Health
Occupational Therapy
Other
Paramedic/ Ambulance
Pathology
Patient Care
Pharmacy Tech. Assist.
Phlebotomist
Physical Therapy
Physical Therapy Tech/Assist.
Physician Assistant
Radiation Therapy
Radiology
Radiology Nuclear
Radiology Tech. Assist.
Radiology Ultrasound
Rehabilitation
Research
Respiratory
Sales
Speech Therapy
Speech/ Audiology Assistant
Surgery -non RN
X Ray Tech
Support Staff
Recruiter
______________________
::CLINICAL
Executive
Nurse
Other
Research
______________________
::NURSE
Ambulatory Services
Anesthetist (CRNA)
Camp Nurse
Cardiac Nurse
Case/ Care Management
Clinical Nurse Specialist (CNS)
CNA/Nurse Assistant
Critical Care & ICU
Dialysis Hemodialysis
Dr.s Office/Clinical Staff
Education/Staff Development
Emergency
Geriatric
Home Health Care
Hospice
Labor & Delivery OB/Neonatal
Long Term Care Nursing Home
LPN/Vocational
MGMT - Mgr/Coor/Charge
Maternal Child Health
Medical/Physician Office
Medical/Surgical
NICU
Nurse Practitioner
OB - Obstetrics
Occupational Health Nurses
Oncology
Orthopedics/Neurology
Other Speciality Areas
Pediatrics
Phlebotomist
PICU
Psychology/Mental Health
Rehabilitation
Research
Surgery MGMT/Admin
Surgery Open Heart - Cardio
Surgery PACU - Recovery
Surgery RNFA - First Assist.
Surgery/ OR Staff
Telemetry
Transplant
Utiliz. Review/ Qual. Assurance
______________________
::PHARMACIST
Administrative
Hospital
Other
Retail
______________________
::PHYSICIAN
Anesthesiologist
Cardiology
Dentist
Dermatology
Emergency
Endocrinologist
Family & General
Gastroenterologist
Geriatric
Hospitalist
Immunology
Internist
Locum Tenens
Neurology
Nuclear Medicine
OB/GYN
Occupational Medicine
Oncologist
Ophthalmology
Orthopedic
Other
Pathology
Pediatrician
Physician Assistant - PA
Plastic
Psychiatrist
Pulmonary
Radiologist
Research
Residency/ Fellowship
Rheumatology
Surgeon
Urgent Care
Urologist
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