1740 w adams ste 3017 phoenix az 85007-2025

1. Click ‘Get Form’ to open the Medical Assistant Application in our editor.
2. Begin with Section A, where you will enter your personal information. Fill in your name, home address, phone number, and email address. Remember that this information is confidential.
3. Next, provide the clinic address and contact details where procedures will be performed. If you have multiple locations, attach a separate sheet as needed.
4. Attach your curriculum vitae or resume to showcase your qualifications.
5. In the following sections, include evidence of your training or education relevant to the job duties. This could be transcripts or certificates.
6. Complete the questions regarding any previous licenses and disciplinary actions. Be thorough and honest in your responses.
7. Finally, ensure you sign and date the application at the end before submitting it for review.

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