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Attach Resume / CV*Please upload your file in Word (.doc, .docx) or PDF (.pdf) format.

Cover LetterPlease upload your file in Word (.doc, .docx) or PDF (.pdf) format.

Legal First name*

Legal Last name*

Do you have a middle name?*

Email*

Mobile Phone Number*

Street address*

Apt/Suite/Other

City*

State/Territory*

Zip code*

Degree*

How did you learn about Eagle?*

Do you currently work in a facility where Eagle Telemedicine provides telemedicine services?*

Are you eligible to work in the United States?*If you are applying for this job, you must already be legally authorized to work in the United States (e.g. US citizen or US resident green card holder).

Will you now or in the future require sponsorship for employment visa status to work in the United States?* (e.g. H-1B status).*Eagle Telemedicine does not sponsor employees for work authorization in the United States.

Are you board certified?*

Have you performed virtual consultations via telemedicine using audio and video technology? Please check all that apply.*

Yes, inpatient consultations.
Yes, outpatient consultations.
No telemedicine experience.

Which shifts are you available to work? Please check all that apply.*

Day
Night
Weekends

How many shifts can you work per month?*

Eagle requires all physicians to opt-in to Medicare prior to their start date. Please indicate your current Medicare status by selecting one of the options below.*

Do you have an active Letter of Qualification (LOQ) with the Interstate Medical Licensure Compact (IMLC)?*

Tele-Nephrology

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