Full Name Email Phone Number Discipline Physical Therapist (PT) Occupational Therapist (OT) – Coming Soon Speech-Language Pathologist (SLP) – Coming Soon Physical Therapy Assistant (PTA) – Coming Soon Certified Occupational Therapy Assistant (COTA) – Coming Soon Other License Status Active CA License New Grad (License Pending) License in Process Not Yet Licensed Expired License Status Active CA License New Grad (License Pending) License in Process Not Yet Licensed Expired Years of Experience <1 1 - 2 3 - 5 6 - 10 10+ Home Health Experience Yes, 1+ year Yes, under 1 year No, but interested No Counties You Can Cover San Mateo County San Francisco County Santa Clara County Alameda County Contra Costa County Other (please specify) Work Radius from Home (Miles) 10 15 20 25 Flexible Availability Weekdays AM Weekdays PM Weekends Fully Flexible Do you have professional malpractice insurance? Yes No Do you have auto insurance for fieldwork? Yes No Do you have a reliable vehicle? Yes No EMR Experience Kinnser Devero Netsmart Other None Languages Spoken How did you hear about us? Google Referral LinkedInr Instagram Other Upload Resume Upload Resume Submit
