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First name
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Last name
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Phone
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Email
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Position applying for:
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How did you learn about this opportunity at our practice?
Are you acquainted with anyone currently employed at OIC?
What is your target billable clinical hours per week?
What is your general timeline for transitioning to a new position?
Primary populations you wish to serve with any applicable specialized training (check all that apply).
Ages 6-12
Teens
Adults
Couples
Families
Emergency Services Personnel
Other, Please Specify
Please indicate all payers (public or private) for which you are currently credentialed.
Aetna
Carefirst
Cigna
Humana Tricare
JHH EAP or USFHP
Medicaid (Maryland)
Medicare
United Healthcare
Other, Please Specify
List any credentials that build on your foundational license, such as biofeedback, EMDR, ADHD testing, etc?
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Upload Resume
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Upload Your Resume
Complete the Submission
Application Submission
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