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Provider Referral Program

Date Submitted:
Candidate Information
Optional
Optional
Optional

Referrals submitted without a CV or recommendation will only be paid $500.
Referring Party / Payee Information
Existing Envision Employee and/or Independent Contractor
Security Verification*
Payment Schedule
MEDICAL DIRECTOR/CHIEF – $5,000*

Payment of $5,000 after clinician has completed 3 months of working as outlined in employment agreement.

FULL-TIME PHYSICIAN – $4,000*

Payment of $4,000 after clinician has completed 3 months of working as outlined in employment agreement.

FULL-TIME CRNA, CAA, PA OR NP – $2,000*

Payment of $2,000 after clinician has completed 3 months of working as outlined in employment agreement.

PART-TIME CLINICIAN – $1,000*

Payment of $1000 after clinician has completed 3 months of working as outlined in employment agreement. Must work at least 12 shifts within the first 6 months, 120 hours or 12 days.

REFERRAL WITH NO CV OR RECOMMENDATION – $500*

Payment of $500 after clinician has completed 3 months of working as outlined in employment agreement.

*For EVPS employees and/or independent contractors:
You will be paid the applicable referral amount less any required withholdings and in accordance with normal Envision Physician Services company practice, e.g., your referral rewards payment will be included in your regular paycheck rather than a separate check

*For Non-Employees:
All applicable taxes will be your responsibility. Please check with your tax advisor