Customer Request

Customer Request Form

If you are a current Customer of Medical TEMPS, Inc. please complete this form in order to request staff from our company. (If your organization does not have a current agreement with our company, please contact us at 318-651-4455 in order for us to send you a free quote for services.) All items marked with a * must be completed before your submission can be accepted. Please don't forget to press the SEND button at the bottom of this page, so we can be sure to get your email customer request! Thank you! (However, if we do not respond to your request within 24 hours, please call our office at 318-651-4455.)
Nurse Checking the Patient — West Monroe, LA — Medical Temps, Inc.

Thank you for your request. 


If we do no respond back to you within 24 hours, please call our office at (318) 651-4455 or email us at medicaltempsinc@aol.com.

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