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Travel Nurse Forms

Useful Forms for Your Travel Nursing Career

Throughout your travel nursing career with NursesRx, you will occasionally need to complete various forms that are important for each of your travel nursing assignments. They include permissions to perform background checks, and lists of professional references from your travel nursing career. For your convenience, you can download and print the forms listed below, and either fax or mail them to NursesRx.

NOTE: These travel nursing forms are in PDF format and require Adobe Acrobat Reader. The Background Authorization form requires that you have Microsoft Word installed. If you do not have this program, the free Microsoft Word Viewer 97/2000 can be downloaded from the Microsoft Website.

If you are an active traveler with NursesRx and need to access additional traveler assignment forms, please log in to The Service Connection.

Application

Fax To

Traveler Application

(877) 744-9052

Assignment forms

Professional Reference Request - Online form.
Professional Reference Request - PDF version to download and print.
Getting Started Checklist 

(877) 744-9052

All travel nursing forms also can be mailed to:

NursesRx
12400 High Bluff Drive
San Diego, CA 92130
Tel: (800) 735-4774
Fax: (877) 744-9052