Physician General Inquiry Form

Are you a Skilled Physician Looking for Locum Tenens Opportunities?

At MedLink, we place physicians and surgeons across the country. With over 30 years of experience, you can count on us to understand your needs, your priorities, and your desire to provide exceptional patient care. We will work with you to find an assignment that fits your professional, personal, and geographic needs.

We offer:

  1. Highly Competitive Pay Rates
  2. Hassle-free locum tenens experience
  3. Vast experience placing physicians in trauma centers, academic medical centers and community hospitals
  4. Market knowledge and reach to provide you with a wide variety of opportunities

Contact Us Today for Your Next Locum Tenens Assignment

    First Name (required):

    Middle Inital (required):

    Last Name (required):

    Title:
    MDDO

    Specialty (required):

    Address Line 1 (required):

    Address Line 2:

    City (required):

    State (required):

    Zip Code (required):

    Email Address (required):

    Home Phone:

    Office Phone:

    Mobile Phone:

    Best Time To Contact (required):
    MorningAfternoonEvening

    Preferred Method of Contact (required):
    EmailHome PhoneOffice PhoneMobile Phone

    State Licenses (check all that apply):

    ALAKAZARCACOCTDEFLGA
    HIIDILINIAKSKYLAMEMD
    MAMIMNMSMOMTNENVNHNJ
    NMNYNCNDOHOKORPARISC
    SDTNTXUTVTVAWAWVWIWY

    Locum Tenens? (required):
    YesNo

    Telemedicine? (required):
    YesNo

    Permanent Placement? (required):
    YesNo

    Upload your CV here, or fax it to 877.269-6425.

    Additional Information (if applicable):