Interview Travel Form

Pre-Interview Travel Needs

As a patient oriented organization, high patient satisfaction as our primary goal. Therefore, one interview session is dedicated to patient satisfaction and will ask open-ended questions requiring you to answer and discuss patient-related issues as they pertain to your past experiences.

In moving forward we ask you to fill out the travel form below.

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Name (First, Middle Initial, Last)

Travel Information

How do you prefer to travel to Lexington?

Please list your preferred dates that you would like to fly in and out of Lexington and the time of day you prefer to fly.

If you prefer air travel, please list the name of the airport you will be flying from.

Please note, travel agencies are now required to give TSA each passenger’s date of birth before the airline ticket can be confirmed and issued. Asking you for that information is contrary to Lexington Clinic policy, thus you need to contact Altour within 24 hours of your receipt of the airfare itinerary so your tickets will be confirmed.

Simply phone 1-800-445-0419, provide your Booking Locator Number and your dates of birth. Altour will then issue the ticket to us, and we will provide it to you electronically, along with your hotel and rental car confirmation.

Do you have a seat preference (window, aisle, front or back)?

Please enter your name exactly as it appears on your driver's license and a cell phone number on which you may be reached while traveling. This is a requirement of our travel agency.

Will a spouse or significant other be joining you on the visit?

If yes and traveling by air, please enter your travel companion's name exactly as it appears on their driver's license in the box below.

How many nights will you be staying?

Would you prefer a king or double hotel room?

Would you like a community/real estate tour during your visit?

If interested in a community tour, please let us know if we have your permission to provide the realtor with your contact information so they may contact you prior to your visit.

Please let us know if you have any dietary restrictions below.

Please list below anyone specific you would like to meet during your interview.

Are there any other specific requests you may have for your visit?

Next Steps

Please complete the online medical staff application prior to your visit by clicking here

We are flexible and will be glad to accommodate what works best for your schedule. Please feel free to reach out to our Physician Services and Recruitment Manager if you would like to discuss any of the above items.

Again thank you for your interest in Lexington Clinic and we look forward to your onsite visit!

Interview Travel Form

Pre-Interview Travel Needs

Travel Information

Next Steps

Contact Us

Contact Us

Quick Links

Quick Links

Lexington Clinic South Broadway

Contact

Interested candidates please contact:

Alexis Sturgill

Tammy Spivey, PHR, SHRM-CP

Want us to contact you?

APC New Hire Additional Information

Foreign Language and Sign Language Capability