Documents & Forms

All paperwork needed for your Interim assignment is available here

If you don’t see what you need, call our Quality Assurance department at (800) 226-6347, or email us at QA@interimphysicians.com, and we’ll get whatever you need pronto.

Quality Assurance Packet
Provider Work Log
ACH Enrollment Form
W9 Form
Fair Credit Reporting Disclosure
Physician Timesheet
Release Authorization Form
Physician Qualification Form
Expense Reimbursement Form
Mileage Reimbursement Form

Apply Online

Ready to start your locum tenens experience with Interim Physicians? Our secure online physician application is an easy, 12-step process, with a quick, one-minute registration. Save your progress any time, then come back at your convenience to complete additional questions using your account login.
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