Physicians and Surgeons Network
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Enrollment Forms
P & S Network, Inc. is currently recruiting Board Certified Physicians in all specialties to do Peer Reviews. If you are interested please print and fill out the following files and either email to matt@physiciansandsurgeons.net or fax to (323)556-0556

DOCUMENTS FOR REVIEWING PHYSICIANS:
Checklist.doc
Application.doc

Signature_Card.doc

Assocoiate_Addendum.doc

W9.pdf


Also include
:
Copy of CV
Copy of your Insurance Declaration page


 

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