Pro Med Healthcare Services - Disclosure Statement

I hereby acknowledge the submittal of my application with Pro Med Healthcare Services to assist me in securing employment.

I understand than an investigative report may be obtain by Pro Med Healthcare Services and presented to prospective employers for consideration. This investigative report may include information concerning, personal reference, previous employment history and criminal backgroung history.

I further understand that I have the right to make a request to Pro Med Healthcare Services to inquire the complete nature and scope of the investigative report.

I hereby acknowlodge that I have read and understand this statement and hereby authorize Pro Med Healthcare Services Rersources to obtain an investigative report as described above.

If you agree to the terms listed above, press "I Agree" to continue