Locum Matching - Clinic Information

Locum Matching - Clinic Information
Thank you for your interest in the Locum Matching Program. Please complete this form in full so that we can create a listing for you which will be available on the inside of our Central Okanagan Divisions website. We will try our best to find a match with a local locum. If local locums are unavailable, we will then advertise outside of our community.

Once completed, email recruitment@codivision.ca to advise your posting is pending.
Clinic Name
Email*
example@example.com
Name of Physician looking for coverage*

First NameLast Name
Clinic Contact number (will be part of listing)*
Please enter a valid phone number.
Clinic Address*

Street Address

Street Address Line 2

CityProvince

Postal Code

Locum Request Details*

Could any of these opportunities begin earlier or end later. Please provide optional start/end dates for each request
Proposed Hours*

Full-time (more than 30 hours/week)Part-time (less than 30 hours/week)EitherOther
Are there specific days or times Locums would be expected work? Please explain.
Privileges

ActiveAssociateNone

Please indicate which of the following are part of this locum opportunity *

If being "on-call" is required, please explain in detail how you expect this to be handled/distributed)
Solo Practice*

YesNo
Do you have any other opportunities at your clinic, in addition to locum opportunities?

YesNoOther
What is the average number of Patients Per Day*

20 - 2525 - 3030 - 3535 - 40>40Other
EMR used*

OSCARMed AccessIntrahealthWOLFAccuroInputMOISOther
Overhead Split*

70 / 30Other
Be willing to provide housing arrangement or accommodations?*

YesNo
Locum payment based on*

BillingsMSP Payments Received
Please provide additional information about your clinic needs and opportunities for Locums (this is your opportunity to promote your clinic!)
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