For organizations

Request Healthcare Staff

Tell us about your organization's staffing needs. Online submission is available when SAMFAS enables client intake. For staffing assistance, contact info@samfashealthcare.com.

Required fields are marked *. Please do not include patient or resident information.

Submission is available only when SAMFAS securely enables client intake. Do not include patient information.

Organization Name *Contact Name *Business Email *Phone Number *

What type of professional do you need? *

Select all that apply.

Registered Nurse (RN)Licensed Practical Nurse (LPN)Certified Nursing Assistant (CNA)Direct Support Professional (DSP)Allied Health ProfessionalOther Healthcare / Support ProfessionalNot Sure — Help Me Determine What I Need

How many professionals do you need?Where is service needed? *City / County / State only. Do not enter patient or resident addresses.When do you need coverage?Preferred Contact Method

Tell us briefly what you need (optional)Include shifts, schedule, facility type, specialty, qualifications, or other information that will help us understand your request. Do not include patient information.

Submitting a request does not create a service contract or guarantee staffing, placement, or an assignment.