U.S. Department of Health and Human Services
Indian Health Service: The Federal Health Program for American Indians and Alaska Natives
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Request Information About: Locum Tenens/Volunteers

This is the form to request information for Locum Tenens and Volunteer Positions in the Indian Health Service. Please enter the specifics of your request in the notes, comments, or questions field at the bottom of the form. You will have the opportunity to upload your CV and cover letter of intent when you complete this online form. We cannot market your availability unless you provide this preliminary information.

Note: You will need a background check and fingerprint card before your start date.

* Indicates Required Field

Name

Address
 

Alternate Address
 

Phone Numbers
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() -
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Email Address
 

Qualifications
(mm/dd/yyyy)

(CTRL-click to
select multiple)
Please check all certifications that you possess:
 
 
Please check all specialties that apply to you:









(specify in notes below)





Preferences
Preferred Location:


    

    
When are you available?
 

Additional Information