Up-to-date CV (with scope of practice in job history, explanations for gaps 30 days)
Board Certification copies
Certifications: DEA, BLS, ACLS, MQSA
List of Procedures provider is comfortable performing
Copy of ND license (active status)
Details on any disciplinary actions or malpractice (must be explained, with documents)
Two recent references (within 2 years one supervisor, one peer)
Travel needs: airfare, lodging, rental car if applicable