"A Nursing Agency Owned and Operated By Nurses for Nurses Since 1980"


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Following are documents that many of our nurses need to access in order to keep their profiles current and to communicate with us.  Fax us completed documents at (215) 750-7592.

Documents are available in Adobe Acrobat PDF Link to Acrobat information Format or Microsoft Word DOC Format, or both.  Please feel free to click on the desired format and download any of these documents and mail, fax, or e-mail them back to PRN Consultants.

Web related content can be accessed by clicking the symbol where applicable.

The Adobe Acrobat Reader is required to view PDF files and Microsoft Word is required to view DOC files.  Click on the following links to download and install them if needed.

 

 

 

PRN Nurse Applications* (Mail or Fax)

PDF

DOC

Web

Description
Link to Acrobat information     PRN Pennsylvania Nurse Application
Link to Acrobat information     PRN New Jersey Nurse Application

*In addition to the interview and application, all nurses applying to PRN Consultants should also provide the following items listed on the RN Requirements page.

 

Nurse Profile Documents

PDF

DOC

Web

Description
Link to Acrobat information   I-9 Employment Eligibility Verification Form
Link to Acrobat information     HIPAA Statement (Confidential Health Information) Form
Link to Acrobat information   Yearly Inservice Programs Form
Link to Acrobat information   Yearly Physicians Statement Form
Link to Acrobat information   Fit Test Form
Link to Acrobat information   Titer Declination Form
Link to Acrobat information     Reference / Evaluation Form

 

Criminal Clearance Documents

PDF

DOC

Web

Description
Link to Acrobat information     Pennsylvania State Police Request for Criminal Record Check (Mail)
    Pennsylvania Access to Criminal History (PATCH - Online)

 

Direct Deposit Authorization Documents

PDF

DOC

Web

Description
Link to Acrobat information   Pennsylvania Direct Deposit Agreement (Include Voided Check)
Link to Acrobat information   New Jersey Direct Deposit Agreement (Include Voided Check)

 

 

 
     
 


 

PRN Consultants Corporate Headquarters ● 941 Durham Road ● Langhorne ● Pennsylvania ● 19047-5738
Phone: (215) 750-6161 ● Fax: (215) 750-7592 ● Email: info at prnconsultants.com

Copyright 2007 PRN Consultants, Inc. All rights reserved.