Tax Status
I9 Verifiation
Experience, only list military, medical, drivers and medical billing experiences. 
 ANY experience where you drove at any point. 
Capacity
Capacity
Capacity
Capacity
Please list the approximate times each day that you are able to work on each day. You will not be expected to work every day and time you list, and your preferences will be considered, but you must list all your availability.
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Please upload copies of your certs, you may upload pictures of these items taken using your phone,
      
or 
you may upload documents. You do not need to do both.  FRONT/BACK/SIGNED when applicable;
  • Drivers License 
  • Ambulance Drivers Cert 
  • Medical Examiners 
  • CA State EMT Card 
  • CPR Card  
Documents Upload Section Is At The Bottom Of The Page, This is the picture upload section 
Attach Documents 
Drivers License FRONT
Upload supported file (Max 15MB)
Drivers License BACK
Upload supported file (Max 15MB)
Ambulance Drivers
Upload supported file (Max 15MB)
Medical Examiners
Upload supported file (Max 15MB)
CA State EMT Front
Upload supported file (Max 15MB)
CA State EMT BACK
Upload supported file (Max 15MB)
CPR Front
Upload supported file (Max 15MB)
CPR Back
Upload supported file (Max 15MB)
Attach Pictures 
Drivers License FRONT
Upload supported file (Max 15MB)
Drivers License BACK
Upload supported file (Max 15MB)
Ambulance Drivers
Upload supported file (Max 15MB)
Medical Examiners
Upload supported file (Max 15MB)
CA State EMT Front
Upload supported file (Max 15MB)
CA State EMT Back
Upload supported file (Max 15MB)
CPR Front
Upload supported file (Max 15MB)
CPR Back
Upload supported file (Max 15MB)

1920 E. Katella Ave. Suite K. Orange Ca. 92867
             Scheduling 714-997-4262 Billing 714-627-9195 Fax 888-689-9070