Welcome to the Team! (Onboarding Request Form) – El Paso Children's Hospital

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Give
Specialties/Services
For Healthcare Professionals
About Us

Welcome to the Team! (Onboarding Request Form)

Welcome to the Team! (Onboarding Request Form)

REQUESTER INFORMATION

Requester full name(Required)

Requester email(Required)

Requester phone(Required)

Phone extension (optional)

Request type

Please select one. Note: Healthcare Professionals kit includes Hospital Welcome Card, business cards, appointment cards, lab coat, and optional addition to EPCH website. Non-Healthcare Professionals kit includes Hospital Welcome Card, business cards, optional appointment cards, and optional additional to EPCH website.

EPCH Onboarding Kit: Healthcare Professionals

EPCH Onboarding Kit: Non-Medical Staff

NEW HIRE INFORMATION (HCP)

New physician/staff full name(Required)

Full name – including MI, suffix, and/or credentials – as new physician/staff would like it to appear on cards.

New physician/staff credentials(Required)

New physician/staff specialty or department (if applicable)

New physician/staff email(Required)

New physician/staff phone number(Required)

Phone extension (optional)

New physician/staff location(Required)

Please select all that apply.

El Paso Children’s Hospital (Main)

EPCH Multispecialty Center

EPCH Emergency Department

EPCH Urgent Care

Other

If other, describe below

Lab coat size(Required)

For help selecting size, you may reference this chart.

Add to EPCH website?(Required)

Yes

No

Additional information(Required)

Please provide information on the new health care provider, such as services they will be providing and detailed sentences describing their department and/or relevant team members.

Please upload any supporting documents

Max. file size: 300 MB.

NEW HIRE INFORMATION (NON-HCP)

New employee full name(Required)

Full name – including MI, suffix, and/or credentials – as new employee would like it to appear on their card(s).

New employee credentials(Required)

New employee specialty or department (if applicable)

New employee email(Required)

New employee phone number(Required)

Phone extension (optional)

New employee location(Required)

Please select all that apply.

El Paso Children’s Hospital (Main)

EPCH Multispecialty Center

EPCH Emergency Department

EPCH Urgent Care

Other

If other, describe below

Add to EPCH website?(Required)

Yes

No

Additional information(Required)

Please provide information on the new team member, such as services they will be providing and detailed sentences describing their department and/or relevant team members.

Please upload any supporting documents

Max. file size: 300 MB.

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915.298.5444

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