We are very excited regarding the opportunity to have you become a part of our team via contract .  This juncture will be both fulfilling and challenging.   Our needs list is below.


It is Global's policy that we have certain forms on file for all of our contracted Physicians. These papers include:


  1. Agreement (We will email)

  2. W9 form (We will email)

  3. Copy of CV(s)

  4. Copy of medical license(s)

  5. NPI number(s) (for billing purposes if applicable)

  6. COI - Copy of professional liability coverage & Workers Comp (Certificate of Insurance listing GDS as the certificate holder – this is not a request to be added as an additional insured but allows us to be notified in case of cancellations)

  7. Copy of your protocol for our technicians (if applicable)

  8. General Safety Rules (We will email)

  9. Background Authorization (We will email)

  10. Copy of National Practitioner Data Bank Self-Query (you provide)

  11. HIPAA Compliance Agreement (We will email)

Please provide the information above to 678-750-1601(fax).   We look forward to beginning the process!

Respectfully yours,





Alto, GA                          Hours Varies

Forest Park, GA               Hours Varies

Glennville, GA                 Hours Varies

Leesburg, GA                  Hours Varies

Macon, GA                      Hours Varies

Paulding, GA                   Hours Varies

Seminole, GA                  Hours Varies

Washington, GA              Hour Varies