Leading the profession in chiropractic employment, recruiting permanent associate doctors, and providing temporary coverage doctors
1-800-TEMP-DOC

PHYSICAL THERAPIST APPLICATION FORM

Download, print and complete this form and
send it with the registration fee* listed to:

To download, click on the link.
It should prompt you to download or open.  

US applicants send with $25 USD to:
Secure Relief
201 Compo Road South
Westport, CT 06880

choose format of application:

Word For Windows US Application
RTF Format US Application
Text format US Application

Non-US applicants send with $50 USD or
Philippine peso equivalent payable to:

Dr. Florentino M. Berdin Jr.
Cebu Velez General Hospital
F. Ramos St.
Cebu City 6000
Philippines
Tel. # 920 920 5358
 

choose format of application:

 Word For Windows Foreign National Application  

RTF Format Foreign National Application 

Text format Foreign National Application

 Foreign nationals who cannot use US currency please contact us.