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Advanced Practice Application

Complete an application with CompHealth to get started in the job you want. Your personal recruiter can walk you through the application and all forms that apply to your specialty.


Apply for an Advance Practice job.

You will need to complete the application and forms below throughout the process. Sign each where requested. Then, fax or mail them to CompHealth.

Mailing Address:
PO Box 713400
Salt Lake City, UT 84171-3400

CRNA Application
- or -
Licensed Independent Practitioner Application
Allows your CompHealth specialty team to begin the credentialing and search process.

Specialty Skills Checklist
Indicates the specialty in which you are qualified to practice and that you want to pursue.

Certified Registered Nurse Anesthetist
Nurse Practitioner
Physician Assistant

Supplemental Claim Form
Necessary for each malpractice claim you've experienced. Include/attach all third-party documentation for malpractice claims (complaint/answer/judgment).

Health Statement
Please complete this form regarding your health and recent vaccinations.

Background Check Authorization
Authorizes a criminal background check to be processed.