Advantage Nursing Care

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Name:
Address:
City, State, Zip:
Home phone:
Work phone:
Mobile phone:
Email:
Date of birth (MM/DD/YYYY):
What shifts do you prefer? (i.e. days, nights evenings)
What is your specialty?
Do you have IV and Phlebotomy experience?
What are you not comfortable doing? (i.e. trachs., pedi., etc.)
Are you interested in one-time visits?
Are you interested in primary nursing if needed?
Please give any experiences that would be helpful for us to know when scheduling you on cases, along with what type of availability you have and how many shirts per week or month you would like to work.