HEALTHCARE STAFFING REQUEST

Tell Us About Your Staffing Needs

Whether you need Personal Support Workers, Registered Practical Nurses or healthcare support professionals, tell Juels Health Care about your organization's requirements.

✓ Temporary Staffing ✓ Shift Coverage ✓ Long-Term Staffing ✓ Contract Staffing

PREFER TO SPEAK WITH US?

Contact Our Team

Speak directly with Juels Health Care regarding your staffing requirements.

CONTACT Mercy

CONTACT Juliet Higgins

PHONE 289-775-3074

ALTERNATE PHONE 437-869-5023

EMAIL juelshealthcare@outlook.com

REQUEST HEALTHCARE STAFF

Complete Your Staffing Request

Please provide information about your organization, the healthcare professionals you require and your preferred schedule.

This information will help our team better understand your staffing requirements before contacting you.

Organization Information

Tell us who is requesting staff.

Organization Name *

Organization Type *

Contact Person *

Job Title / Position

Email Address *

Phone Number *

Organization Address

City *

Postal Code

Staff Required

Tell us which healthcare professionals your organization needs.

Staff Required *

Number of Staff Needed *

Type of Coverage *

Shift *

Preferred Start Date *

End Date

Shift Start Time

Shift End Time

Assignment Details

Provide any additional information that will help us understand your needs.

Assignment Responsibilities

Special Requirements

Additional Information

Privacy Notice

Please do not include patient names, medical records, diagnoses or other private personal health information in this form.

WHAT HAPPENS NEXT?

A Simple Staffing Process

Submit Your Request

Complete the staffing request form with your organization's requirements.

Requirements Review

Our team reviews the staffing, scheduling and assignment details.

We Contact You

A Juels Health Care representative contacts your organization to discuss the request.

Staffing Support

Suitable available healthcare professionals are considered based on your requirements.

NEED TO SPEAK WITH US?

Contact Juels Health Care

If you would prefer to discuss your staffing requirements directly, contact Mercy or Juliet Higgins.

PHONE 289-775-3074 PHONE 437-869-5023 EMAIL juelshealthcare@outlook.com