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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. Emergency Contact Information

2. Hepatitis B Series / Titre / Declination

3. TB Questionnaire / PPD

4. Influenza Vaccination / Declination

5. Fit For Duty

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

Thanks for submitting!

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