[Legacy] Urgent Shifts Jotform 2.24.2023

Get Your Urgent Shifts Filled ASAP!
How to Get Your Last Minute Shifts Filled
1. Text your staffing needs to (510) 405-1047 and we will post Urgent Shifts for you (shifts starting in less than 24 hours); or
2. Log into our platform to post shifts
You will be notified when a healthcare professional in your area claims a shift
Click here to view our Pricing Sheet
Form Submitter Name:
Form Submitter Email Address:
Required if you'd like to access the platform and view worker documentation
Form Submitter Cell Phone:
Please enter a valid phone number. Required if you'd like us to post shifts on your behalf Format: (000) 000-0000.
Please sign here to confirm that you have read and agree to Clipboard Health's Terms of Service as well as the terms of this agreement.
Documentation: TB Test or X-Ray, Background Checks + OIG/GSA, Drivers License (form of identification), CPR/BLS, all other state-specifc requirements. Please inform us if your facility has any additional requirements.
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Get Your Urgent Shifts Filled ASAP!