Name: First Choice Neurology
Price range: $$$

New Hire Implementation Form
Authorized By:*
Date:*
MM slash DD slash YYYY
Email of Authorized:*
Oasis & Unitime Access
Employees will not be available for payroll unless this section is completed.
Employee Full Legal Name:*
Oasis ID Badge:*
Oasis Date of Hire:*
Full-Time or Part-Time:*
Paid or Unpaid Lunch:*
30 min or 1 hr Lunch:*
Email Signature
A signature is automatically created for your new employee but is blank by default. Please fill in the below information so it can be populated. Please note anything listed here will be shown on their company email signature.
Official Title:*
Phone Number and Extension:*
Fax Number:*
Office Name:*
eClinicalworks Access
Please note all users are ONLY given the ability to view the schedule. They will not have access to any other functions unless specified. It is highly recommended to list another employee who's access can be mirrored.
eClinicalworks Access:*
Employee Position:*
Website Access
We can create logins for Navicure Claims, Navicure Eligibility, UnitedHealthcare and Availity.
Website:*
Miscellaneous
Enter Details:*
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New Hire Implementation Form

Oasis & Unitime Access