Thank you for visiting MedCareStaffing.com For your convenience, we have included downloads and forms you may need.
For Providers (Doctors, NP/PA’s)
- Provider Time Sheet – (Provider Time Sheet PDF) (Provider Time Sheet Word Doc)
- W-9 pdf
- Physician Application PDF – Physician Application (PDF) Physician Application (Word Doc)
- PA/NP Application PDF
For Hospitals / Clinics / Urgent Care / Medical Facilities
- Request a doctor or NP/PA for temp (locums) or permanent positions
- Provider Request Form
MedCare Staffing, Inc (MCS), is committed to providing risk management for both the physician seeking practice opportunities and the client recruiting physicians. We’ve instituted steps to make certain each placement is rewarding professionally, financially, personally and for your patients.
MCS does primary source verification of your education, training, privileges, board certification, and licenses.
Providers must complete a MCS application that includes medical and legal questions and gathers essential information about your training and experience. This information will be revisited at least every two years during our reverification process.
Before you can work through MCS, we gather several verbal and two to four written professional references from medical professionals with whom you’ve worked closely.
You will need to provide copies of all required documents such as State License, DEA, Diploma, etc… see credentialing application.
We will ask you to complete a medical scope of practice form to help us get a very good understanding of your skills and the scope of medicine within which you are comfortable and confident practicing. Self-awareness of your strengths and limitations is a very important part of success in locum tenens. Sharing that information with us is very important.
Queries of recognized monitoring sources
Individual state medical licensing boards
The Federation of State Medical Boards
The Office of Inspector General/Health and Human Services
Internal MCS approval