Hospital intake

Tell us where coverage is needed.

Share the facility, specialty, dates, shift pattern, urgency, and credentialing timeline so the request can move into a structured coverage workflow.

What happens next

A Locum Friends coordinator reviews the intake, clarifies missing details, and moves the request into the right hospital, vendor, provider, credentialing, schedule, or time-pay workflow.

Who handles this next?

Primary handoff: Locum Friends coverage desk → matched vendor partners and available providers.
You stay the contact for facility decisions, credentialing deadlines, and shift approvals.
If you are a vendor or provider instead, use the role links below so your packet reaches the right queue.

After you send

Confirmation goes to the email you enter, with phone follow-up used for urgent coverage or credentialing blockers.
Keep the submission number for status checks instead of resending facility details in a new message.

ReceiveClarifyRouteTrack

Hospital Vendor Candidate Provider General

Website

Name Who should the Locum Friends team contact about this request? Email Use the inbox where status updates and follow-up questions should go. Organization Facility, practice, staffing company, or organization name. Phone Optional, but helpful for urgent coverage or credentialing questions. Facility or medical group Name the site that needs coverage, even if it differs from your organization. Specialty or service line Examples: emergency medicine, hospitalist, psychiatry, CRNA, family medicine. Coverage dates Enter exact dates if known, or a range such as “July weekends” or “ongoing”. Shift pattern Examples: 7a-7p, nights, call only, clinic days, or 24-hour coverage. Credentialing deadline Share when the provider must be cleared to start. Urgency and decision deadline Examples: immediate, this week, next month, or planning ahead. Notes Add decision deadlines, blockers, or the fastest next step for the team.

Please share only the details needed to route your request. Do not include SSNs, dates of birth, patient information, or other sensitive personal health information in this public form.

Ready to send?