Digital Forms and Templates

Forms and templates for
Locum Medical Officers

Doqtorific is registered provider of locum doctors to NSW Public Health Organisations. We therefore collect and submit the following forms when placing you in a medical locum position. Below are the forms and templates for the employment and management of Locum Medical Officers as prescribed by the Ministry of Health.

Clinical Skills Self Assessment

Form 2.1: Clinical Skills
Self Assessment Form

Referee Check - Skills

Form 2.2: Referee Check
for Clinical Skills (1/1)

Referee Check - Behaviour

Form 2.3: Referee Check
for Professional Behaviour (1/3)

Referee Check - Behaviour

Form 2.4: Referee Check
for Professional Behaviour (2/3)

Referee Check - Behaviour

Form 2.5: Referee Check
for Professional Behaviour (3/3)

Criminal Record Declaration

Doc 5. Criminal Record
Statutory Declaration

Locum Doctor Feedback Form

Doc 8. Locum Medical
Officer Feedback Form

Pre-Placement Checklist

Doc 1. Locum Medical Officer
Pre-Placement Checklist

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