Elite Medical Group Staffing: We provide diagnostic Imaging Services, Mobile MRI, CT and PET Scan Professionals

Client Request

Our goal is to assist you in meeting your staffing needs as quickly as possible. Please fill out and submit this short form. Your personal Hospital Account Manager will contact you within 24 hours (Monday - Friday).

If you have any questions and wish to reach us by phone, please contact the Client Service Department at (888) 364-7999.

Staffing Request

* Indicates Required Fields

	* Name
	* Facility name
	Address 1
	Address 2
	City
	State
	Zip code
	* Email address
	* Phone
	Fax

	Skill Needed:
	If other, please specify:
	Number of positions needed:
	Shift:	8 hr10 hr12 hr DaysEveningsNights

Submit additional staffing requests

	Skill Needed:
	If other, please specify:
	Number of positions needed:
	Shift:	8 hr10 hr12 hr DaysEveningsNights

Submit additional staffing requests

	Skill Needed:
	If other, please specify:
	Number of positions needed:
	Shift:	8 hr10 hr12 hr DaysEveningsNights

Submit additional staffing requests

	Skill Needed:
	If other, please specify:
	Number of positions needed:
	Shift:	8 hr10 hr12 hr DaysEveningsNights

	* Comments: