Root & Branch Residency Application

Thanks for your interest in being a resident at Root & Branch!

Before beginning the application, please read the statement below and confirm that you understand it and what it means for your ability to work at Root & Branch. We respect everyone’s individual autonomy but must also be compliant with the law.

Note: Currently, OHA dose not require healthcare workers to be vaccinated against COVID-19 but should those regulations change in the future, all of our clinicians, employees, and residents will be required to comply with the law.

COMPLIANCE STATEMENT: Root & Branch is compliant with all state and federal healthcare requirements and guidelines. All clinicians, employees, and residents must adhere to local, state, and federal guidance for the practice of medicine, including vaccination and the use of personal protective equipment (PPE).

I understand the above statement and that I am required to comply with all local, state, and federal requirements for practicing medicine in Oregon, including being vaccinated against all illnesses required by the Oregon Health Authority (OHA)

Contact Information

Name

First Name

Last Name

Phone

(###)

###

####

Anticipated Graduation from Chinese Medicine School

YYYY

When do you hope you have finished taking your board exams?

Personal Reference

Please include the name and contact info of someone who can speak to your character and disposition

First Name

Last Name

Phone

(###)

###

####

Why are you interested in being a resident at Root & Branch?

What excites you about being in private practice?

What makes you nervous or concerned about private practice?

Once you are in private practice, what style or approach to medicine interests you?

What demographic of patients are you hoping to treat?

Are you expecting to apply for a provisional license until you pass your boards?

Yes

I'm not sure

How important is prescribing herbs to your future practice?

Please list any days of the week (Monday through Friday) and/or specific times of day when you are UNAVILABLE for a candidate interview