Please fill out the referral form below:

If you are human, leave this field blank.

Full Name *

First and Last name of the person being referring to us.

Email Address

E-mail address of the person being referring to us.

Phone Number *

Phone number of the person being referred to us.

Specialty

Registered Nurse (RN) – $1000Physical Therapist (PT) – $500Occupational Therapist (OT) – $500Speech Language Pathologist (SLP) – $500Clinical Laboratory Scientist (CLS) – $500Licensed Vocational Nurse (LVN) – $500Surgical Tech/Sterile Processing Tech – $250Respiratory Tech/Radiology Tech – $ 250Cath Lab Tech – $250Registered Dietician - $250Certified Nurse Assistants – $250Medical Assistant – $250Other - $250, $500 or $1000 Depending upon SpecialtySpecialty of person being Referred.

'Other' Specialty

if you chose 'Other' above please list the specialty here

Upload Resume - Optional

Upload a resume if you have it handy.

Referred by:

Name of Person who is making the referral

Referred by Email Address:

E-mail address of the person who is making the referral

Referred by Phone Number:

Phone number of the person who is making the referral.

Submit Referral

You Can Earn a referral bonus for each Healthcare Professional you refer to us!

REFERRAL PROGRAM ELIGIBILITY CRITERIA: 3 EASY STEPS

1. Your referral must work 90 days with a minimum of 120 hours worked (as an employee of 24-Hour Medical Staffing Services)

2. Referral must not have previously worked with our 24-Hour Medical Staffing Services for a period of 24 months to be considered a ‘new hire’ and for referring person to be eligible for bonus incentive.

3. Hours are tracked from the start date of the hired Clinician upon successful completion of 90 days/120 hours worked, you get PAID!