Forms

MedStaff supplies you with all the necessary forms to start your travel nursing career on the right foot.

MedStaff will make starting your travel nursing career with us as simple as possible. We do this by providing you with all the necessary travel nursing forms you'll need to complete to start an assignment right away. We also give you other useful information such as:

On this page you will find the travel nurse eligibility forms that you will need to complete in full and return to MedStaff right away. As you continue your travel nursing career with MedStaff, you may be asked to update this information if you encounter any changes regarding address, credentialing, licensing, etc.

As you scroll down this page, you will also find standard information to download that's particularly useful. As a travel nurse, you will want to reference the licensure processing time form, which will prepare you as you start future assignments.


Use the easy-to-follow instructions below to obtain all the necessary documents that are required in order to start your travel nursing career with MedStaff:

1. You will need Acrobat Reader installed on your computer to view these files. If you do not already have Acrobat Reader installed, please click here and download it for free.

2. Download and print the appropriate form(s). (Forms will open in new window)

Required Forms Needed Prior to Starting Your First Assignment

Background Check
Criminal Conviction Addendum
Hepatitis B Vaccination Consent/Declination
Tuberculosis Assessment
Letter of Reference (Two needed, completed by manager)
Physical Statement & Health Status (Annual)
W4 - Tax Withholding Form

Other Information

Nursing Housing Checklist
Direct Deposit Consent Form
New York State Law Article-23A
New York City Earned Sick Time
Influenza Vaccination
San Francisco Sick Pay Notice
San Francisco Minimum Wage 
California Sick Pay Notice
Massachusetts Sick Pay Notice

3. Fill out the form(s).

4. Mail or Fax the form(s) to MedStaff.

Mailing Address:

ATTN: Your Recruiter's Name
MedStaff
3805 West Chester Pike Suite 200
Newtown Square, PA 19073 USA

Fax: Use your recruiter's direct fax number or (800) 201-9855