Medical Provider Network
Diamond Landscapes, Inc. utilizes a Medical Provider Network for the treatment of work-related injuries and illnesses. Employees may pre-designate a physician for this purpose if they wish, provided they have a signed letter from their physician agreeing to the pre-designation for work-related injuries and illnesses. If you wish to do so, please list the physician’s name and contact information below, and attach the physician’s letter. If you do not wish to do so, leave the space blank.
Please Read Carefully
I fully understand this employment application, as well as other hiring documents, do not create an employment contract between Diamond Landscapes, Inc. and me. I understand that if I am hired and any of my answers are deemed to be false or misrepresentations, then I may be terminated. I fully understand that my employment is “at will”, meaning that either myself or Diamond Landscapes, Inc. may terminate my employment at any time for any reason. I am fully aware and authorize Diamond Landscapes, Inc. to conduct a background investigation and/or a pre-employment drug test and/or physical examination on me as a condition of my employment. I grant full permission to Diamond Landscapes, Inc. to contact the above-mentioned references regarding my background. Diamond Landscapes, Inc. is committed to providing access and reasonable accommodation in its employment for individuals with disabilities.