Physicians register    with NAPR
 
Any Fields marked with a red (*) are required fields and must be completed in order to submit your information
For Fee details Click Here

Login Details
Choose your Username*
Choose your Password*
Please re-type your password*
 
Organization Details
Name of Organization/Hospital Group*
Is this a fictitious Name (DBA/AKA)?* Yes  No 
If so, what is legal name?*
Address1*
Address2
City*
State*
Country*
Zip
Phone*
Fax
Email*
Website/URL
Name of NAPR Authorized Voting Member*
Title of Voting Member*
Please list ALL company principals*
Federal Tax ID # (TIN) or
Employer ID # (EIN)*
Does your organization recruiter only physicians?* Yes  No 
If no, please list other specialties/disciplines recruited:*
Does your organization charge candidates a fee?* Yes  No 
Are You Independent Search Firm
Facility Based
 
Recruiter's History
Current number of physician recruiters/individuals doing recruiting*
Total years of their cumulative experience in physician recruiting*
Number of years your company/organization has been in business/done recruiting?*
Number of years your firm/department recruited physicians*
Month/year legally formed as a physician recruiting firm/department? or month/year firm became significantly a physician recruiting firm*
For profit firms only—what percentage of your total revenue is derived from physician recruitment?
Number of physicians your firm/organization placed/recruited? last year?*
Number of physicians your firm/organization placed/recruited? total all years?*
 
Code of Ethics
View Code of Ethics

I have read and hereby subscribe to the Code of Ethics which includes the Physician Recruitment Standards of Practice and Procedures of the National Association of Physician Recruiters (NAPR). I accept compliance with the Code of Ethics as a requirement for holding my membership in NAPR and acknowledge by selecting 'Yes' below that the violation of any section thereof subjects my organization to expulsion by the NAPR Board of Directors as provided by the Bylaws.

Yes*  
 
  
For Fee details Click Here
Your request for membership is subject to approval of the NAPR Board of Directors.