providing you peace of mind from the very start

That's why we do our best to collect fair fees for our coverage.

Half Day

$325

Under 5 hours of clinic work
$15 per patient over 20 patients

Full Day

$500

5 to 9 hours of clinic work
$15 per patient over 40 patients

Custom quotes for long term coverage are available.

Please fill out the following form to let us know about your practice and what will be required of our locum doctor.

Name

First Name

Last Name

Phone

(###)

###

####

Email Address

Clinic Name

Clinic Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Starting Date

MM

DD

YYYY

End Date

MM

DD

YYYY

Doctor Requirements

Select the most common activities our locum doctor will be required to perform.

Charting

Adjustments

New Patient Exams

PT Modalities

Soft Tissue

Rehab

Avg. Patients Per Day

Majority Case Type

What is the most common type of patient seen in your clinic?

Clinic EHR

Select the charting system used in your clinic.

Additional Info/Comments

Hire Latitude NW