GP Client Form
Please Enter The Details Below
First Name
Last Name
What is the name of your practice/organisation?
What is the practice address?
Phone/Mobile
*
Email
*
Who is our best point of contact at your organisation?
What is their role in your organisation?
Please select
Owner/Principal Dentist/Proprietor
Practice Manager
Business Manager
Hiring/HR Manager
Administration
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List is empty.
What areas of practice are you looking for in a candidate?
Select all that apply
Telehealth
General Family Medicine
Indigenous Health
Women's Health
Men's Health
Elderly
Children
Chronic Disease Management
Dermatology
Mental Health
Minor Surgical Procedures
Refugee Health
Sexual and Reproductive Health
Skin Cancer
Sports Medicine
Emergency Medicine
Other
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How many years experience are you looking for?
Please select
I don't mind as long as they're qualified
Less than 3 years
More than 3 years
More than 5 years
More than 7 years
More than 10 years
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When are you hoping for someone to start?
*
Please select
Immediately
1 Week
2 Weeks
4 Weeks
3 Months+
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Work type
*
e.g. FT, PT or Locum - select all that apply
Full-time
Part-time
Locum
Any
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For the right candidate, would visa sponsorship be a possibility?
Please select
Yes, we already sponsor
Yes, we haven't before (but we're open to it)
Not keen to sponsor
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What pay type do you provide?
e.g. hourly rate, percentage of billings
Hourly rate
Daily rate
Annual salary
Percentage of billings
Base plus commission
Any
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What is your ideal pay range or percentage range?
How many patients per day will the GP see?
Please select
1-10
11-20
21-30
31+
Any
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Any particular patient population at your practice? i.e. children, elderly, specific demographic
Do you provide any professional development or education?
What are the most important things about a candidate that will get you to hire them?
Is there anything else important to you?
Health Recruiters Representative Name
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