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PO Box 3237

Sugar Land, TX 77487-3237

281-634-7825

Practice Profile FORM for Clients to POST new JOBS.

Please fill in appropriate fields that pertain to your new position.

Client Name

Address

City State Zip

Specialty Needed

Board Certification

Degree preferred?

Location of position

Will Foreign Medical Graduates be accepted?

Community size

Practice is: SSG, MSG, solo, partner, employee, etc.

Date Needed:

Reason for needing new physician

Estimated compensation

Income Guarantee or Salaried position?

Benefits provided

Languages spoken (other than English

E-mail Accounts

Phone number to best reach you

Office number

Cell phone number

Best time to call

Comments

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