NSW Health Locum Reference Check (Specialists)

Thank you for taking the time to complete this reference check, which is an important part of our quality recruitment process. The questions in this check are devised by the NSW Health Department specifically for the employment of locums in NSW.

Please note that the responses that you provide will be placed on the candidate's file, which they can access upon request, in accordance with the Privacy Act. The information that you provide will be given to potential employers.

Please call us on +61 2 8014 0175 if you have any questions about this reference check.

* Required fields

Candidate Name *
Facility *
Title
Your Name *
Last Name *
Email Address *
Your position *
Department *
Direct contact number *
Mobile Number
Fax Number
Today's date *
How long did you work with the candidate? *
Responses are based upon *	Direct observation Review of accumulated information
Time period (from-to) *
Setting/Facility *
Would you use this medical officer again? *
If "with hesitation", why?
What are his/her strengths? *
Does he/she ask for assistance if needed? i.e. knows their own limitations. *
How well does she/he handle pressure or a busy workload? *
How would you describe his/her communication and interpersonal skills? With patients and staff? *
Is he/she a strong team player, and works well in team situations? *
How flexible is she/he? How would you see them adapting to a new workplace? *
Area you aware of any disciplinary action or legal proceedings against the Medical Officer? *
Are there any issues which may impact on their work that we should be aware of? *
Any further comments?
Enter Word Verification in box below *

24/7 Freecall 1800 633 505

NSW Health Locum Reference Check (Specialists)

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