Agency Badge Request
To ensure a secure and identifiable work environment, all employees are required to obtain a Just In Time Medical Staffing ID Badge.
Name
*
First Name
Last Name
Position
*
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Registered Nurse (RN)
Licensed Practical Nurse (LPN)
Certified Nursing Assistant (CNA)
Medication Aide (OMT)
Please upload your photo for your healthcare badge
*
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*Photos must be an unobstructed, front view of the full face. No facial or hand gestures or foreign objects should be included. Hats, sunglasses, bandanas, and any obstructive clothing are not allowed, unless for valid religious or medical reasons. All headwear must be removed, unless worn for valid reasons. Please refer to the example photo provided on this page.
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