Employment Verification

Complete the form below and someone will contact you soon. If you would like to speak with someone immediately,
call us at 1-800-479-5028.

Employment Verification 2021

If you’re trying to obtain an employment verification for an Integrity Locums provider, please complete the form below. A release signed by the provider and a formal request form are required for each employment verification and can be uploaded using the file browser in the form below.

Your First Name *

Your Last Name *

Your Company *

Your Email *

Your Phone *

Provider's First Name *

Provider's Last Name *

Below, please upload a "verification form"

File Upload

Maximum file size: 2.1MB

Below, please upload a "signed release"

File Upload *

Maximum file size: 2.1MB

Comments

If you’d like to obtain an employment verification for an Integrity Locums provider by directly contacting our credentialing department, use the contact information listed below. Please attach the signed provider release and a formal request form to your email.

Shannon Hayward

shayward@ihcl.com

Fax: 720-496-1558

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