MSS Clinician Resources
Reporting Workplace Safety Issues
Employees are expected to obey safety rules and to exercise caution in all work activities. If a safety concern or any other issue arises at any client facility at which you are placed, you may contact the Joint Commission’s (www.jointcomission.org) office of quality management at 800-994-6610 to report the issue without retribution.
MSS Pre-Employment Forms
While we work through the process of finding your next assignment, we will begin the pre-employment process. Below you will find all the documents necessary to get you signed up and ready to begin working.
Please download and print the necessary documents. Then complete the form(s), provide your signature on the form and either fax to us at (812) 469-6876 or scan and email to: hr@mssmedicalstaffing.com.
To view, download, or print the documents on this page you must have the FREE Adobe Reader installed on your computer. Download it HERE FOR FREE.
Individual Forms Library:
- Application for Employment
- Background Investigation Consent Form
- Substance Abuse Testing Consent Form
- Disclosure of Health Information Consent Form
- Work Commitment Agreement
- Attendance & Employee Handbook Acknowledgement Form
- HIPAA Form
- Safety and Infection Control In-service
- TB Screening Form
- Hep B Declination Form
- Form I-9
- I-9 Letter to present to Notary Public with I-9 form if out of Medical Staffing Solutions' Geopgraphic Area
- W4 Form
- State Withholding - Illinois
- State Withholding - Hawaii
- State Withholding - Indiana
- State Withholding - Kentucky
- Direct Deposit Form
Government Forms:
Miscellaneous Forms:
- Application & Employment History Update
- Time Sheet
- Time Off Request Form
- Performance Evaluation - field
Skills Checklists:
Required by many of our customers, your skills checklist is an important step in the application process. Complete the online checklist today. It's quick, easy and convenient. Remember, the sooner we receive your skills checklist, the sooner you can start exploring the many exciting opportunities we have waiting for you.
Visit our Skills Checklist Center
Travel Links :
Choose your next destination, plan a trip, learn about your new town or find a great travel deal. We've put an excellent variety of travel links right at your fingertips.
Licensure Info :
Get the licensing information you need from the appropriate State Boards of Nursing.
View MSS compiled Licensure Info
Nursing Links:
Visit the Web sites of the top general and specialty nursing organizations, all in one place.
View MSS compiled Nursing Links













