Inquires About Anesthesia Services:

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Inquires About Career Opportunities:

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Specialty *

Position(s) of Interest*

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Part Time

Per Diem

Split FTE

1099 or W2?*

Skills for Which you are Proficient *

Pediatric Anesthesia

OB Anesthesia

Neuraxial (spinal & epidural)

Regional Blocks

Interventional Pain (completed a fellowship)

None of the above

Comfortability with Regional Blocks (excluding neuraxial)*

Comfortability with Neuraxial Anesthesia (spinal, epidural)*

Comfortability with Pediatric Anesthesia*

Comfortability with OB Anesthesia*

What is Your Ideal Georgia Location?*

Specify any location or practice requests/requirements

How did you hear about Collaborative Anesthesia Partners Georgia?*

If references are not submitted you will not be considered. If you have a file with references you may upload that along with your CV & place N/A below. *

(First & Last Name, Job Title, Relationship, Date you last worked together, Email, Phone Number)

When are you able to start?*

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