Thank you for your interest in Virtual Radiologic. To start the process of becoming a Virtual Radiologic radiologist, please review and understand the following requirements to join our practice:

• American Board of Radiology Certification or American Board of Osteopathic Radiology
• Should hold at least one state license. This typically requires USMLE, and a complete series of licensing exams (or a combination of state licensing exams, National Exams, ECFMG, and FLEX exams)
• Eligibility for credentialing at specific hospitals
• High-speed Internet access (DSL/cable)
• Computer/PACS literacy. Our software is user friendly, and if needed, our staff will help you acquire the necessary skill to become familiar with it. Technical assistance is available 24/7 with remote access to your PC.
• Customer service/patient service mindset

Please fill out the following information and then press the "submit" button.

(note: fields marked with a * are required)

Personal Information

	*Title		MD DO
	*First Name
	*Last Name
	*Address 1
	Address 2
	*City
	*State
	*Zip Code
	Primary Phone
	Secondary Phone
	Home Phone
	Fax
	*Email
Additional Information
	*Is your practice in contact with Virtual Radiologic to provide teleradiology services or have you been a customer of Virtual Radiologic in the past?
	*Have you previously applied with Virtual Radiologic for a position as a radiologist?
	*List all active, inactive, and pending state licenses.
	*Are you auhorized to work in the United States?
	*What month AND year did you complete your residency?
	*What month AND year did you become certified by the American Board of Radiology (ABR)?
	If ABR or CAQ certification was obtained more than 10 years ago, would you consider taking the SPEX examination? (www.fsmb.org/plas_spex.html)
	*Have you had fellowship training?
	If yes please list school name and area of specialty.
	*How did you hear about VRC? (Referral, mailer, postcard, RSNA, AuntMinnie, ACR, via fellowship program, residency program, etc.)
	*Have you been named in any malpractice cases?
	If yes, please indicate for each instance if the result was an award, settlement, or dismissal.
	* Required
We invite you to submit your CV.