Required Documents
First documents you will need to upload prior to completing your profile and uploading state specific requirements:
When signing up to work with ShiftMed in the app you will then be prompted to enter your
Proof of Identification (DL, Photo ID, Passport, etc.)
Social Security Number
Professional License (National license verification + State license verification)
You can upload multiple Professional Licenses and any Specialties if applicable.
Please Note: You must be professionally licensed to practice in this State.
Required Forms
Forms that must be signed in the ShiftMed App before you can start uploading credentials:
Training Manual: Complete directly within the app using the tap to sign feature
Company Handbook: Complete directly within the app using the tap to sign feature
TB Baseline Risk Agreement
Arbitration Agreement
Wisconsin Background Check Authorization Form or CheckR Criminal Background Check Consent Form depending on residency.
Required Credentials
Documents that must be uploaded into the ShiftMed App before you can start claiming shifts:
RT Certification
Unlock Credentials
Please note that specific facility credentials could be asked of you when attempting to claim a shift. These are NOT required for you to be hired by ShiftMed. These are special requirements that some of our partner facilities require. For more information on Facility Specific Credentials, CLICK HERE.
Wisconsin Background Check Authorization Form or CheckR Criminal Background Check Consent Form, depending on residency.
Physician Statement: A statement of health from your physician is a document that clearly states that you are in good physical and mental health and free of any communicable diseases. This is required if you are in the state of Wisconsin.
COVID-19 Vaccine: All HCPs must have either a COVID-19 Vaccination (1-2 doses or booster) or must complete a Medical or Religious Exemption form in the app.
Resume: Can be uploaded or completed directly in the app using our Resume Builder.
MMR: Some ShiftMed facility partners require healthcare professionals to show proof of MMR vaccination or a titer test.
Flu Shot: Some of our partner facilities in the area do require a flu shot during flu season.
Varicella: Some ShiftMed facility partners require healthcare professionals to show proof of completing the Varicella vaccination or a positive titer test.
Hepatitis B Vaccine: Some ShiftMed facility partners require healthcare professionals to show proof of completing the hepatitis B vaccination series or a titer test.
TDAP Vaccine: Some ShiftMed facility partners require healthcare professionals to show proof of receiving the Tdap vaccination or completing a titer test.
Items that ShiftMed will Verify
Active Wisconsin CRT or RRT Professional License
Criminal Background Check through CheckR or WORCS Criminal Background Check (Dependent on residency, please see special requirements section for more information)
Clear record on the Office of Inspector General (OIG) Exclusion Check
Clear record on the System for Award Management (SAM) Exclusion Check
Residency Requirements
If you have lived in Wisconsin for 3+ years, you will complete a WORCS Criminal Background Check
If you have lived outside of Wisconsin for 3+ years, you will complete a Background Check Through CheckR
Upload your credentials in the ShiftMed app.
Wisconsin CRT/RRT State Credentialing Checklist
Completed in the ShiftMed App | Completed in the ShiftMed App | ShiftMed Credentialing Team will complete internally (Not visible in app) |
ShiftMed Required Credentials | Unlock Credentials (May be required at specific facilities) | ShiftMed Required Checks |
Credentials: ☐ Wisconsin CRT/RRT Professional License ☐ Proof of Identification (State ID, DL, Passport, etc.) ☐ SSN ☐ Form I9 ☐ RT Certification
Consent Forms: ☐ WI Background Check Authorization Form or CheckR Consent Form ☐ TB Baseline Risk Agreement ☐ Training Manual ☐ Company Handbook ☐ Arbitration Agreement | Credentials: ☐ TB Test ☐ Resume ☐ MMR ☐ Flu Shot
| Background & Registry Checks: ☐ Office of Inspector General (OIG) Check ☐ System for Award Management (SAM) Exclusion Check |
Questions?
If you have any questions, reach out to us in chat by going into the ShiftMed App > Menu > Help Center > Chat & Help Articles > Ask a Question!