• MD/DO APPLICATION FORM

    MD/DO APPLICATION FORM

  • If your specific clinical expertise is not listed in the dropdown menu above, please feel free to manually type your area of expertise in the provided field. This ensures that all specialized fields are accurately represented and accounted for in our records. We appreciate your cooperation in helping us maintain a comprehensive and inclusive database of clinical expertise.

  • Please provide your current rates for your services. This information will help us match you with a Nurse Practitioner (NP) or Physician Assistant (PA) whose budget aligns with your rates. We usually offer a base pay $300 to $500 per month, and that is per practitioner.

    Based on our survey and previous successful matches, the average rate that most NPs/PAs can afford or is within their budget is around $500/month. However, if you prefer a rate that is more or less than this amount, please specify.

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  • *By signing this form, you are granting Carthona Medical Group permission to use your information. You trust Carthona Medical Group to securely store your information in our database for the purpose of facilitating supervision collaborations with Nurse Practitioners (NPs) and Physician Assistants (PAs) seeking a supervising physician with the assistance of Carthona Medical Group.

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