GP Physician Recruitment Vacancy Request Form

Request a vacancy by completing and submitting the below form, which includes a detailed practice description.

If you would like to submit a change to a posted physician vacancy, please email physicianvacancyregistration@interiorhealth.ca

Job Title

Community

Facility

Walk in Clinic

Specialty

Sub-Specialty

Type of Position

Practice Description

Scope of Practice

Hospital Privileges

Facility

# of FTEs at Site with Privileges and On Call

Hours of Work

On Call Requirements

# of Patients/Day

Practice Setting Arrangements

Overhead (% or amount each month)

Bill Split

Physician Compensation

Payment Structure (fee for service, contract)

Estimated Remuneration

Eligible for RSA Incentives?

In accordance with the RSA, candidates are eligible for:

Recruitment Incentive ($)

Retention Fee Premium (%)

Retention Flat Fee ($)

Need for Vacancy

Start Date

End Date

Position is Approved on IH Physician Resource Plan

Name of person submitting this request

Name of Lead Physician or Administrator to receive CV's