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4.
Health & Immunization - Step 4 of 4
 

Thank you for your interest in applying with Perimeter Anesthesia.   

To continue your credentialing with Perimeter Anesthesia, please upload the following documents.  

1. History & Physical

2. Emergency Contact Information

3. Hepatitis B Series / Titre / Declination

4. TB Questionnaire / PPD

5. Influenza Vaccination / Declination

6. Fit For Duty

Health & Immunization - Step 4 of 4
History & Physical
Upload supported file (Max 15MB)
Emergency Contact
Upload supported file (Max 15MB)
Hepatitis B Series/Titre
Upload supported file (Max 15MB)
TB Questionnaire / PPD
Upload supported file (Max 15MB)
Influenza Vaccine
Upload supported file (Max 15MB)
Fit For Duty
Upload supported file (Max 15MB)
Fit For Duty
Upload supported file (Max 15MB)

Thanks for submitting!

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