Site Guide: Roy Vera, R.T., MBA Publisher, Author and Consultant for the medical staffing industry.
VISMEDICAL.COM
Resource For The Medical Staffing Industry
Staffing Forms
Access To Staffing Forms, Agreements, Contracts, Checklists And Other
Medical Staffing Forms.
These forms are specific for the Medical Staffing Industry. You are able to quickly download these
forms and have access to them instantly. These forms can be customized to fit your company.

Mandated Topics
Name Download Format Price
Age Specific Requirements Document MSWord $2.00
Child Abuse Reporting Document MSWord $2.00
Patient Confidentiality Agreement Document MSWord $2.00
Contracts
Name Download Format Price
Contract between medical staffing agency and facility MSWord $20.00
Independent Contract MSWord $20.00
Contingency/Agreement Recruiting Contract MSWord $20.00
Split Fee Agreement Contract MSWord $35.00
Employment
Name Download Format Price
Nursing Employment Application MSWord $15.00
General Employment Application MSWord $10.00
Telephone Application Data Sheet MSWord $5.00
Background Investigation Release MSWord $7.00
Direct Deposit Payroll MSWord $4.00
Drug Testing Policy MSWord $5.00
Reference Request MSWord $2.00
Hepatitis B Declaration MSWord $2.00
Emergency Contact Information MSWord $2.00
No Show No Call Policy MSWord $2.00
Form W-4 PDF $2.00
Form W-9 PDF $2.00
HiPPA Employee Privacy Statement PDF $2.00
Employee Eligibility Verification I-9 PDF $2.00
Marketing
Name Download Format Price
Recruitment Letter 1 MSWord $2.00
Recruitment Letter Fax MSWord $2.00
Recruitment Letter 2 MSWord $2.00
Standard Prospecting Recruiting MSWord $2.00
Telephone Recruiting Sheet MSWord $2.00
Weekly Telephone Recruiting MSWord $2.00
Daily Telephone Recruiting Log MSWord $2.00
Standard Hello Letter MSWord $2.00