top of page

Allied Health Professionals
Join Surge Staffing – Your Next Career Move in Healthcare

We're excited to connect with dedicated healthcare professionals. Please complete the form below to start your journey with us.

Personal Information:

Professional Details - Allied Health Professionals:

Professional Designation
Primary Modality / Specialty
Secondary Modality / Specialty (If None Choose - N/A)

Availability & Preferences:

Preferred Work Locations
Employment Type Desired

Credentials & Documents (Select any that apply):

Certifications #1:
Certifications #2:
Certifications #3:
Provinces Licensed In / Choose All That Apply

Consent Section:

bottom of page