As a part of our registration and to promote you as a VERIFIED LICENSED Practitioner we are required to complete a background check that includes the following:
Anewu Healthcare Inc. (the “Company”) may request background information about you from an
investigative consumer reporting agency in connection with your employment application and the
information may be used for employment, promotion, retention, or reassignment for employment purposes.
The report ordered is defined by the Investigative Consumer Reporting Agencies Act (ICRAA) as an
“investigative consumer report.” These reports may contain information about your character, general
reputation, personal characteristics and mode of living. They may involve personal interviews with sources
such as your neighbors, friends or associates. The reports may also contain information about you relating to
your criminal history, credit history, driving and/or motor vehicle records, education or employment history,
or other background checks.
For information about GoodHire’s privacy practices, visit https://www.goodhire.com.
You have the right to view your file that a Consumer Reporting Agency holds. By providing proper
identification and duplication cost, you may obtain a copy of this information in person at the Consumer
Reporting Agency’s regular business hours and after providing reasonable notice for your request.
Additionally, you can make the same request via mail or request a summary of the file over the phone. The
Consumer Reporting Agency can assist you in understanding your file, including coded information. You are
allowed to have one additional person accompany you so long as they provide proper identification.
Anewu Healthcare Inc. (the “Company”) may request a consumer report and/or investigative consumer report,
as defined by the federal Fair Credit Reporting Act,on you from a consumer reporting agency in connection
with your contractor application and for contracting purposes. A consumer report is a compilation of
information that might affect your ability to contract for the Company. These reports may contain information
about your character, general reputation, personal characteristics and mode of living. They may involve
personal interviews with sources such as your neighbors, friends or associates. The reports may also contain
information about you relating to your criminal history, credit history, driving and/or motor vehicle records,
education or employment history, or other background checks.
I have carefully read and understand the FCRA Candidate Disclosure for the Procurement of Consumer
Reports form, and if applicable, the California Candidate Disclosure for the Procurement of Investigative
Consumer Reports form. I have also read and understand the attached Summary of Rights under the Fair
Credit Reporting Act and State Law Disclosures. By my signature below, I authorize _Anewu Healthcare Inc.
(“the Company”) to share the contents of this consumer report or investigative consumer report with its
partners and clients in an effort to place me into an employment/independent contractor/volunteer
relationship with those partners. The Company will only share the background report as necessary, and as
authorized, in order to assign me to a client, partner company, or organization. I understand that if the
Company hires or engages me, my consent will apply, and the Company may obtain reports throughout my
employment/contract/tenurewhere state law allows. I also understand that the information contained in my
job application or otherwise disclosed by me before or during my employment/contract/tenure, if any, may be
used for the purpose of obtaining consumer reports and/or investigative consumer reports.
By my signature below, I authorize law enforcement agencies, learning institutions (including public and
private schools and universities), information service bureaus, credit bureaus, record/data repositories, courts
(federal, state and local), motor vehicle records agencies, my past or present employers, the military, and
other individuals and sources to furnish any and all information on me that is requested by the consumer
If applicant is younger than 18 years old, a Legal Guardian must provide his/her own email address and
signature in the fields below.
The fee for this service by a third party is $40.00 and is non refundable. If you accept and see 5 patients within our platform the full fee will be credited to you on your next payout.
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Copyright © 2020A A NEW U - All Rights Reserved.
Please have the following information available to complete the application:
(You will also need to upload copies of the required documents listed below):
1. State or Federally Issued ID
2. Licenses in the states you wish to practice
3. DEA License(s)
4. Controlled Substance License
5. NPI I
6. NPI II if applicable
7. Malpractice Insurance Information / COI (Certificate of Insurance)
***Please Note*** This application must be completed in one sitting, or the data entered will be lost!