Wilderness Medical Staffing Locum Tenens Agreement
This file contains the Locum Tenens Staffing Agreement between Wilderness Medical Staffing and Dahl Memorial Clinic. It outlines the terms, responsibilities, and conditions for locum tenens staffing. Ideal for clinics seeking temporary or contract medical staffing solutions.
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How do I fill this out?
To fill out this agreement, carefully read each section and ensure you understand the terms. Gather all necessary information regarding staffing needs and the provider’s details. Once filled, review the document for accuracy before submitting.
How to fill out the Wilderness Medical Staffing Locum Tenens Agreement?
1
Read the entire agreement carefully.
2
Gather necessary details about the provider and clinic.
3
Fill out the form accurately with the required information.
4
Review the completed form for any errors or omissions.
5
Submit the form as instructed.
Who needs the Wilderness Medical Staffing Locum Tenens Agreement?
1
Healthcare clinics looking for temporary medical staffing.
2
Physician assistants seeking locum tenens assignment.
3
Medical staffing agencies coordinating provider placements.
4
Hospitals needing flexible staffing solutions.
5
Healthcare providers searching for contract work opportunities.
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What are the instructions for submitting this form?
To submit this Locum Tenens Agreement, first gather all the necessary information. You can submit the filled form via email directly to e.fielding@skagway.org or fax it to (907) 983-2255. Alternatively, ensure the document is printed and mailed to Dahl Memorial Clinic, PO Box 537, Skagway, AK 99840.
What are the important dates for this form in 2024 and 2025?
For the Locum Tenens Agreement, key dates include the contract period which begins on January 1, 2022, and ends on December 31, 2022. Renewals are possible with mutual agreement, so remember to discuss any extensions in advance. Keep an eye on yearly staffing schedules for updated needs.
What is the purpose of this form?
The purpose of this Locum Tenens Agreement is to formalize the arrangement between Wilderness Medical Staffing and the Dahl Memorial Clinic for temporary medical staffing. This document delineates the terms of service, responsibilities, and expectations for both parties. It is crucial for ensuring that staffing needs are met efficiently and legally.
Tell me about this form and its components and fields line-by-line.
- 1. Client Information: Contact details and address of the client needing staffing.
- 2. Provider Details: Information about the medical provider being referred.
- 3. Coverage Dates: Dates for the assignment coverage.
- 4. Terms of Agreement: Conditions and responsibilities outlined for both the client and the staffing agency.
- 5. Buyout Fee: Details regarding the fees associated with hiring a provider directly.
What happens if I fail to submit this form?
If you fail to submit this form, you risk not securing the necessary staffing support in a timely manner. This can lead to operational disruptions and may impact patient care. Ensure you complete and submit the agreement promptly to avoid challenges.
- Staffing Delays: Delay in filling critical medical positions can hinder patient care.
- Contractual Issues: Inadequate paperwork may lead to misunderstandings about roles and responsibilities.
- Financial Implications: Failure to submit could lead to unplanned expenses for emergency staffing solutions.
How do I know when to use this form?
- 1. Temporary Coverage for Absences: When regular staff are unavailable due to vacation or illness.
- 2. Specialty Coverage Needs: To obtain specialized medical professionals for short-term engagements.
- 3. Emergency Staffing: In situations requiring immediate staffing solutions.
- 4. Recruitment Transition: During the hiring process for full-time positions.
- 5. Supplementing Staff: To bolster staff during busy periods or significant influxes of patients.
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