We are absolutely committed to providing you with the exact match for your staffing needs. To help us do so, please be as complete as possible with the form below.  An Abbott Hughes staffing consultant will contact you very shortly to verify and collect any additional information required to ensure an exact match to you need.

The form allows for multiples for a given position and shift.  Feel free to submit additional forms as needed.  For your safety this form submits using your E-mail.  If you receive an error simply print and fax to us at 480-467-0327.

Your Name:
Your e-mail address:
Your Phone:
Facility Name:
Work Place Address:
City: State: Zip:
Billing Address:
Attention:

Request for::                                  Description
     Short-Term/Per Diem
     Long Term
     Traveler
     Permanent Placement
Type of Professional Needed:
     Nursing                                                                              Allied Health
     CRITCR: Critical Care                                                    OT:  Occupational Therapist
     CRNA: Certified Registered Nurse Anesthetist                 OTA: Occupational Therapist Asst.
     DIALYS: Dialysis                                                             OTR: Registered OT
     ER: Emergency Room                                                     PT:  Physical Therapist
     HH: Home Health                                                            PTA: Physical Therapist Asst.
     LPN: License Practical Nurse                                           RPT: Registered PT
     M/S: Medical Surgical                                                      RT: Respiratory Therapist
     MR: Maternal Child                                                         RRT: Registered RT
     NNICU: Neonatal Intensive Care Unit                              SLP: Speech-Lang. Pathologist
     OR:  Operating Room                                                      SLP-CCC: Certified SLP
     PACU: Recovery Room                                                  UST: Ultrasound Technician
     PEDS: Pediatrics                                                             XRT: X-ray Technician
     PSYCH: Psychology/Psychiatric
     RADIO: Radiology
     RN: Registered Nurse                                                         Other
     STEPDN: Stepdown Unit                                                  CNA: Certified Nursing Asst.
     SURG/ORT: Surgical/OR Tech                                         MA:  Medical Assistant
     TECH:  Operating Room Technician                                   DENA: Dental Asst.
     Ultra: Ultrasound                                                               MO:  Medical Office/Business
     Physicians: Specify

Specify Medical Office needs:
Specific Requirements/Additional Information

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Call us today at:  (480) 467-0337
(800) 444-6841