Vital Application Name * First Name Last Name Desired Position * Medical Assistant Provider Lab Tech Patient Access Representative Desired Hours Full-time Part-time Email * Phone * (###) ### #### Are you at least 18 years old? * Yes No Why would you like to work at Vital Care? List active licenses * Are you available to work weekends and evenings? * Provide additional information as needed Thanks for applying to work with us at Vital Care. We will review applicants and reach out if your skills fill a need in our clinic.