Submission Requirements

Submission Requirements

It’s important for healthcare professionals to have a file with up-to-date documents and forms. There are several forms that are required to build your healthcare professional profile.

  • Copies of license/certification for every state you are licensed in.
  • Front and back copies of your certification cards (BLS, ACLS, PALS, TNCC, etc.).
  • Copies of your Social Security card and driver’s license. Be sure to copy the backside of your driver’s license if you have any change of address listed there.
  • Resume-up to date, with most recent experience and skills.
  • Letters of reference and previous evaluations.
  • Vaccination records- MMR, varicella, hepatitis B,  and an annual influenza vaccine or titer test showing immunity.
  • Annual physician statement from your doctor.
  • Annual TB test—within the last year

Submission Forms