Refer a Nurse

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Refer a Nurse

We believe that the highest quality nurses come from the referrals of our employees and friends. If you know a qualified RN that we should contact for a position, fill out this form. After the nurse you referred has completed a 13-Week assignment, you will be given a $500 check as a token of our appreciation for finding us another team member! (You DO NOT need to be associated with Source Healthcare Staffing to take part in this program). Thank you for your interest in Source!

Your Name *

First & Last

Your Email *

Your Phone Number *

So we know how to get ahold of you with your reward!

Nurse's Name *

First & Last

Nurse's Email *

Nurse's Phone Number *

Nurse's State of Residence

Nurse's Specialty (If Known)

Select All that Apply

Med/Surg

Telemetry

ICU

NICU

Labor and Delivery (L&D)

Operating Room (OR)

IMC

MB/PP

Other:

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