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DEMOGRAPHICS

LICENSES

MALPRACTICE INSURANCE

BACKGROUND CHECK

DEMOGRAPHICS

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Are you a prescriber?


DEA / Drug Enforcement Agency License
Controlled Substance Registration

Malpractice Company

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THIRD PARTY VERIFICATION

As a part of our registration and to promote you as a VERIFIED LICENSED Practitioner we are required to complete a background check that includes the following:
Local and State Criminal Background Check
Federal Background Check
Licensure Verification
Level 3 Sanctions Review
Sex Offender Database Search
The fee for this validation is passed on to the practitioner who will be sent a copy of the verification and all findings.
The fee for this service by a third party is $40.00 and is non refundable. If you accept and see 5 patients within our platform the full fee will be credited to you on your next payout.

Are you a California Resident?


CALIFORNIA CANDIDATE DISCLOSURE FOR THE PROCUREMENT OF INVESTIGATIVE CONSUMER REPORTS

Anewu Healthcare Inc. (the “Company”) may request background information about you from an investigative consumer reporting agency in connection with your employment application and the information may be used for employment, promotion, retention, or reassignment for employment purposes. The report ordered is defined by the Investigative Consumer Reporting Agencies Act (ICRAA) as an “investigative consumer report.” These reports may contain information about your character, general reputation, personal characteristics and mode of living. They may involve personal interviews with sources such as your neighbors, friends or associates. The reports may also contain information about you relating to your criminal history, credit history, driving and/or motor vehicle records, education or employment history, or other background checks.

For information about GoodHire’s privacy practices, visit https://www.goodhire.com. You have the right to view your file that a Consumer Reporting Agency holds. By providing proper identification and duplication cost, you may obtain a copy of this information in person at the Consumer Reporting Agency’s regular business hours and after providing reasonable notice for your request. Additionally, you can make the same request via mail or request a summary of the file over the phone. The Consumer Reporting Agency can assist you in understanding your file, including coded information. You are allowed to have one additional person accompany you so long as they provide proper identification.

 

FOR CONTRACTORS

FAIR CREDIT REPORTING ACT DISCLOSURE FOR THE PROCUREMENT OF CONSUMER REPORTS

Anewu Healthcare Inc. (the “Company”) may request a consumer report and/or investigative consumer report, as defined by the federal Fair Credit Reporting Act,on you from a consumer reporting agency in connection with your contractor application and for contracting purposes. A consumer report is a compilation of information that might affect your ability to contract for the Company. These reports may contain information about your character, general reputation, personal characteristics and mode of living. They may involve personal interviews with sources such as your neighbors, friends or associates. The reports may also contain information about you relating to your criminal history, credit history, driving and/or motor vehicle records, education or employment history, or other background checks.

 

AUTHORIZATION

I have carefully read and understand the FCRA Candidate Disclosure for the Procurement of Consumer Reports form, and if applicable, the California Candidate Disclosure for the Procurement of Investigative Consumer Reports form. I have also read and understand the attached Summary of Rights under the Fair Credit Reporting Act and State Law Disclosures. By my signature below, I authorize _Anewu Healthcare Inc. (“the Company”) to share the contents of this consumer report or investigative consumer report with its partners and clients in an effort to place me into an employment/independent contractor/volunteer relationship with those partners. The Company will only share the background report as necessary, and as authorized, in order to assign me to a client, partner company, or organization. I understand that if the Company hires or engages me, my consent will apply, and the Company may obtain reports throughout my employment/contract/tenurewhere state law allows. I also understand that the information contained in my job application or otherwise disclosed by me before or during my employment/contract/tenure, if any, may be used for the purpose of obtaining consumer reports and/or investigative consumer reports. By my signature below, I authorize law enforcement agencies, learning institutions (including public and private schools and universities), information service bureaus, credit bureaus, record/data repositories, courts (federal, state and local), motor vehicle records agencies, my past or present employers, the military, and other individuals and sources to furnish any and all information on me that is requested by the consumer reporting agency. If applicant is younger than 18 years old, a Legal Guardian must provide his/her own email address and signature in the fields below.

Applicant/Legal Guardian Signature


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