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Hospital: 585-798-2000
Orleans Community Health
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 Main Menu

  • Patient Info
    • Pay a Medina Memorial Hospital Bill
    • Patient Portal
    • Patient Portal – Did you know?
    • Patient Handbook
    • Download Patient Forms
    • How to pay your bill – Steps to take
  • Primary Care
    • Mary E. Remollino, MPAS, RPA-C (Medina, NY)
    • Christine A. Cameron, MD (Medina, NY)
    • Khurrum Sanaullah, MD | Pediatrician
  • Services
    • Transitional Care Unit
    • In-Patient
      • Medical Surgical Unit
      • Pharmacy
      • Social Work
    • Out-Patient
      • Cardiac Services
      • Dialysis
      • Emergency
      • Imaging Services
      • Lab Services
      • Nutritional / Diabetes Education
      • Occupational Health
      • Physical/Speech/Occupational Therapy
      • Podiatry
      • Prevent T2 Lifestyle Change Program
      • Respiratory Services
      • Surgical Services
      • Urology
      • Walk-in Clinic
      • Wound Care Center
    • Nursing Home
      • Nursing Home
      • Visitor Guidelines
    • Insurance
      • Healthcare / Insurance Enrollment
  • Visitor Info
    • Directions
    • Visiting Hours
    • OCH Board of Directors
  • Financial Info
    • Billing Rates / Procedures
    • Payer Negotiated Rates
    • Health Plan Participation
    • Cancer Services Program
    • Financial Assistance Plain Language Summary (PLS)
  • Community
    • Events / Classes
    • Community Partners
    • Community Health Improvement Plan
    • Grateful Patient
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  • General Information

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  • Proof of authorization to work in the United States will be required upon employment.
  • * An applicant may not be denied employment because of a conviction record unless there is a direct relationship between the offense and the job or unless hiring would be an unreasonable risk
  • Elementary & Jr. High

  • High School

  • College Technical or Other

  • Note to Applicants:

    Do not answer this question unless you have been informed about the job requirements for the job for which you are applying.

  • EMPLOYMENT RECORD

    (Start with your present or last job. Include any job related military service assignments and volunteer activities. You may exclude organizations which indicate race, color, religion, gender, national origin, disabilities or other protected status)

  • Job #1

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  • Job #2

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  • Job #3

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  • References

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  • Reference #3

  • Consent

    As a condition of employment I understand that I may be required to take and pass a drug and or alcohol screen in any or all of the following circumstances:

    Pre-employment - For cause - Random selection

    I UNDERSTAND THAT EMERGENCY CONDITIONS MAY REQUIRE ME TO TEMPORARILY WORK SHIFTS OTHER THAN THE ONE FOR WHICH I AM APPLYING AND AGREE TO SUCH SCHEDULING CHANGE AS DIRECTED BY MY DEPARTMENT HEAD OR ADMINISTRATOR OF THIS INSTITUTION.

    I voluntarily give this institution the right to make a thorough investigation of my past employment and activities, agree to cooperate in such investigation and release from all liability or responsibility all persons, companies or corporations supplying such information.

    I understand that, if I become employed, I will be an employee at will, which means that I or my Employer may terminate my employment at any time for any reason, with or without cause, and with or without notice. I understand that I will be required to follow the Employer’s personnel policies and rules. I have fully, completely, and accurately completed this application form. I understand that I may be terminated for any misstatement or omission of fact appearing on this application form.

    I further understand that this institution follows the “fair employment practice code” and there is no discrimination in the hiring of individuals based on sexual orientation, sex, race, religion, age, or physical or mental handicap unrelated to ability to perform the work required.

  • This field is for validation purposes and should be left unchanged.
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200 Ohio Street, Medina, NY 14103 | 585-798-2000

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