GP Position Questionnaire
Complete the below form and one of our recruitment specialists will be in touch!
Practise Name
Practise Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Bulk billed or Mixed?
How many years has the practise been operating?
Practise opening hours?
Opening Time
Closing Time
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Position Available
Reason for Position?
Full time / part time ?
Will there be a dedicated consulting room?
Ideal Start Date
-
Month
-
Day
Year
Date
Remuneration (Hourly Rate / Percentage of Billings)
Other benefits
How many patients can a doctor expect to see per day?
How many doctors do you currently employ?
How many doctors work per shift?
Support staff?
Other staff members?
Pathology on site?
Yes
No
Pharmacists on site?
Yes
No
Physiotherapists on site?
Yes
No
Psychologist on site?
Yes
No
Skin clinic on site?
Yes
No
What software does the practise use?
What other services does the practise offer?
AGPAL accreditation?
Yes
No
Additional comments (optional)
Your Contact Details
Name
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Email
example@example.com
Submit
Clear Form
Print Form
Should be Empty:
Now create your own JotForm - It's free!
Create your own JotForm