Peer Reviewer Recruitment
First Name*
Last Name*
Direct Phone
State License(s)
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Credential Types
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First Year of Practice
Have you reviewed for…?
(Check all that apply.)
What types of reviews interest you?
What Levels of Care do you prefer?
What are your preferred available days?
Assuming a “normal” schedule,when are your available…? (Check all that apply.)
During business hours Notes-only
During business hours Outreach calls
During business hours Same day Notes-only
During business hours Same Day Outreach Calls
After Business Hours Notes-only
Tell us about yourself. (In more specifics terms.)
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