Resident and Fellow Verification for Mentorship

Are you a resident or fellow looking for mentorship and guidance with locums or direct contracting? If so, please review the material below and submit the required information to receive the discount.

Mentorship Program Fees for Residents and Fellows: $299

Verification Form

Please fill out the verification form below. Once we have verified your status as either a resident or fellow then we will send you an email of how to join the mentorship program. If you have questions, please contact us at Support@FlexMedStaff.com

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Name:

First

Last

Email:

Confirm Email

Year of Training:

State of Residency or Fellowship Program:

Name of Residency Program:

Medical Specialty:

NPI Number:

Social Medial PROFILE URL:

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Upload picture of ID badge:

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