Applicant Documents

Annual Mandates OSHA HIPPA Acknowledgment Form
Hepatitis B Vaccination Consent
Physical Statement and Health Status
Tuberculosis Assessment

Applicant Checklists

We are excited that you chose Therapia Staffing to apply for a position. Before we can offer you an employment opportunity, a skill assessment form must be completed. From the list below, please choose the title that matches your specialty and complete the form fully. Once complete, we will review and be in contact with you about the next steps. Thank you!

Therapy Skills Checklists

Occupational Therapist Skills Checklist

Physical Therapy Skills Checklist

Speech and Language Pathologist Skills Checklist

Nursing Skills Checklists

Cardiac Monitor Technician (non RNs) Skills Checklist

Case Management/Utilization Review Skills Checklist

Cath Lab/Interventional Radiology Nursing Skills Checklist

Certified Nursing Assistant Skills Checklist

Critical Care/ICU Skills Checklist

Dialysis Nursing Skills Checklist

Dialysis Technician Skills Checklist

Emergency Department Skills Checklist

Healthcare Leadership Competencies Assessment

Home Health Skills Checklist

Hospice Skills Checklist

Informatics Skills Checklist

Intermediate Care/PCU/Stepdown/Telemetry Skills Checklists

Labor and Delivery Skills Checklist

Medical/Surgical Skills Checklist

NICU Skills Checklist

Operating Room Nursing Skills Checklist

Operating Room Surgical Technologist Skills Checklist

PACU Skills Checklist

Pediatric Emergency Department Skills Checklist

Pediatric Skills Checklist

PICU Skills Checklist

Post-Partum/Nursery Skills Checklist

Psychiatric Skills Checklist

Sterile Processing Technologist Skills Checklist

Urgent Care/Clinic Skills Checklist

Wound/Ostomy/Continence Skills Checklist