[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
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.*

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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!