Get Med Source Travelers Clinical Reference 2011-2025

Filling out the Med Source Travelers Clinical Reference is a crucial step in the employment verification process. This guide will help you navigate through each section of the form with clear instructions and support.

Follow the steps to complete the form accurately and efficiently.

1. Press the ‘Get Form’ button to access the Med Source Travelers Clinical Reference form and open it for filling.
2. Begin by entering the applicant's name in the designated field, ensuring correct spelling.
3. Input the applicant's social security number in the corresponding section, maintaining confidentiality.
4. List the position held by the applicant, accurately reflecting their job title.
5. Fill in the dates of employment, including the start and end dates.
6. Provide the employer or facility name where the applicant was employed.
7. Complete the address fields, including street address, city, state, and zip code.
8. Enter the supervisor or reference's name and title, citing the individual who can provide insight into the applicant's performance.
9. Include the telephone number for the reference to ensure easy communication.
10. Acknowledge the permission statement, indicating the applicant allows the employer to share information regarding their performance.
11. Secure the applicant's signature, followed by the date of signing.
12. Rate the employee in each category provided, choosing from the specified scales (excellent, above average, satisfactory, below average, poor).
13. Complete the additional comments section if there are any further remarks to add about the applicant.
14. Indicate if the employee is eligible for rehire by checking yes or no.
15. Provide the appraiser’s signature, name, job title, and position held.
16. Finally, save your changes, and choose whether to download, print, or share the completed form.

Start filling out your Med Source Travelers Clinical Reference form online now.