Invoice Submission Form

As per published medtigo policy (please refer to our corporate Intranet at: for a copy of the Independent Contractor Guidelines), payment can only be made for scheduled and published hours as reflected on the Amion schedule at: Any direct patient care time beyond scheduled and published hours on the Amion schedule shift must be supported by an explanation of circumstances in the field at the bottom of this form that we will submit to the client on your behalf for authorization. Please submit hours for the period specified below. Payments will then be calculated and submitted for processing within a few business days.