We are very excited regarding the possibility of your group working with us.  We hope that you all will find it both fulfilling and challenging.   

 

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

 

  • Reading Agreement (We will email)

  • W9 form (We will email)

  • Copy of CV(s)

  • Copy of medical license(s)(without sanctions/restrictions)

  • NPI number(s) (for billing purposes if applicable)

  • Copy of professional liability coverage (Certificate of Insurance listing GDS as the certificate holder – this is not a request to be added as an additional insured)

  • Copy of your protocol for our technicians (if applicable)

  • HIPPA Compliance Agreement (We will email)

  • General Safety Rules (Applicable if reading on client's site - we will email)

 

Please fax the aforementioned papers back to us ASAP (678-750-1601).

 

We look forward to beginning the process!

 

Respectfully yours,

GDS

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We are a equal opportunity employer.  All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.