Forms

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Overtime/Productivity Bonus Form

Submit overtime and 22/25 patient productivity data

Surge Shift

Submit surge shift / 10 AM shift hours

🤝
Buddy Shift

Submit your buddy shift (link to be added)

🏥
Call to the floor form

Email/fax this completed form to the billers, or alternatively bill through private billing (e.g. cabmd / mdbilling)

🤰
Obstetric Roster Referral Form

OB roster referral form — for unattached pregnant patients

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