Meda Workforce Supplier Network Application

Thank you for your interest in joining the Meda Workforce Supplier Network. We understand the challenges healthcare organizations face when searching for qualified, dependable clinicians. Through strong supplier partnerships, we can expand access to exceptional talent, respond to evolving workforce needs and support the delivery of quality patient care.

To be considered for the Meda Workforce Supplier Network, please complete the Supplier Partnership Application below. Our team will review your information and contact you regarding next steps.

Step 1 of 2

Company Information

Company Address

Ownership & Corporate Structure

Under which payroll category should the clinician(s) provided to clients be classified?
Are any owners or officers also a clinician that would be staffing a client?

Employer of Record (EOR)

Does your company have an Employer of Record (EOR) associated with the company? If yes, please provide the appropriate information below.

Business Classification

Is this company categorized as a small business?

Certifications & Staffing Capabilities

Is your company Joint Commission Certified?
Does your business have local per diem staff?
Does your business staff travelers?
What type of role or healthcare setting could your agency currently fill with your active candidate pool? Please select all that apply.
Which care settings could your agency currently fill? Please select all that apply.

Referral

How did you hear about Meda Workforce Solutions?

User Details

Social Details

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