If you need special services from UNI, please fill out the form below (If you are a new client, please click here). We will respond promptly to your request to let you know that we have received it and are working to fulfill your needs. If you need an immediate response, please contact:

Nurse Recruiters
916.985.0631
323.653.7111

You can also email us at: services@unihcr.com
 

Organization Inormation
Name of Organization:
Contact Name:
Address:
City, State, Zip:
Telephone:
 

Special Service Information
 
Date of
Assignments
Assignment Areas
(ICU, Med./Surg., etc.)
Shifts Needed
(Day, Eve, Night, etc.)
Shift
Start Time
(0700, 2300, etc.)
Shift
Finish Time
(1530, 1930, etc.)
# of Nurses
Needed
Special Skills or
Credentials Required
(ACLS, PALS, etc.)
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