Useful Forms for Your Travel Nursing Career

Throughout your travel nursing career with NursesRx, you will occasionally need to complete various forms that are important for each of your travel nursing assignments. They include permissions to perform background checks, and lists of professional references from your travel nursing career. For your convenience, you can download and print the forms listed below, and either fax or mail them to NursesRx.

NOTE: These travel nursing forms are in PDF format and require Adobe Acrobat Reader. The Background Authorization form requires that you have Microsoft Word installed. If you do not have this program, the free Microsoft Word Viewer 97/2000 can be downloaded from the Microsoft Website.

Application		Fax To
Traveler Application		800-408-9227
Assignment forms
Background Authorization		866-214-1016
Professional Reference Request		800-408-9227

All travel nursing forms also can be mailed to: