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                                                                   EXHIBIT 10.34


                                                                    2000 Options



                                    Amendment
                                       to
                  Super-Performance Stock Option Plan Agreement


AMENDMENT, agreed to as of this 24th day of July, 2001 between AMN Healthcare
Services, Inc., a Delaware corporation (the "Company"), and the person whose
name appears on the signature page hereto (the "Optionee").

WHEREAS, the Company has previously entered in a nonqualified stock option
agreement under the Company's Super-Performance Stock Option Plan, dated
December 13, 2000 (the "Agreement");

WHEREAS, the Company desires to amend the Agreement to change the accounting
treatment of the options granted under the Agreement;

WHEREAS, the Optionee desires to amend the Agreement to secure the benefits of
the Amendment;

NOW, THEREFORE, the Company and the Optionee agree as follows:

               The following amendments to the Agreement shall be effective as
of the close of the sale of no less than $100 million of the Company's Common
Stock in an underwritten public offering of such Common Stock that is
consummated on or before December 31, 2001 (the "IPO").

1.      The heading for Section 2 of the Agreement is amended to read in its
        entirety as follows:

"Section 2.    Vesting and Exercisability

               (a)    Vesting. Subject to the provisions of Section 10, the
                      option shall become fully vested upon consummation of
                      the IPO. Notwithstanding the vesting of the option in
                      accordance with this Section 2(a), the option shall not
                      become exercisable other than in accordance with the
                      provisions of Section 2(b) and 2(c) hereof.

               (b)    Exercisability.  Upon the occurrence of the IPO, the
                      option shall become exercisable in accordance with the
                      following schedule:

                      230.9 shares on December 31, 2001, or if later, upon the
                      expiration of the underwriters' lock-up period following
                      the IPO (the "Lock-Up Period"); expiration of the Lock-Up
                      Period;

                      230.9 shares on December 31, 2002;
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                      230.9 shares on December 31, 2003;

                      230.9 shares on December 31, 2004;

               Each of the foregoing dates shall hereinafter be referred to as
an "Exercisability Date".

               (c)    Change of Control Acceleration. Notwithstanding any
                      provision to the contrary, the option shall become fully
                      vested and exercisable on the date on which HWH Capital
                      Partners, L.P. and its affiliates (collectively, "HWP")
                      have disposed of 75% or more of its ownership position.

               (d)    Expiration of Option.  The option shall terminate and
                      cease to be exercisable on December 31, 2009."

2.      Section 4 of the Agreement is amended to read in its entirety as
        follows:

               "Section 4.   Termination of Employment

               (a)    Exercisability.  If a grantee's employment with the
                      Company terminates for any reason, other than by reason
                      of the grantee's death or disability, the Exercisability
                      Dates under Section 2(b) shall be of no further force or
                      effect and the then-vested and non-exercisable portion
                      of the option shall instead become exercisable at a rate
                      of 25% for four years following the expiration of such
                      grantee's "Hiatus Lock-Up Period", beginning on the
                      first anniversary of the expiration of such period, and
                      ending on the fourth anniversary of such period;
                      provided, however, that the option shall become fully
                      exercisable by December 1, 2009. Upon termination of a
                      grantee's employment by reason of death or disability,
                      the provisions of this Section 4(a) shall be
                      inapplicable, and such grantee's option shall continue
                      to become exercisable in accordance with the provisions
                      of Section 2(b).

               For purposes of this Section 4(a), "Hiatus Lock-Up Period" shall
mean, in the case of an employee terminating employment more than one year after
the IPO, the two-year period immediately following his termination, and, in the
case of an employee terminating employment within one year after the IPO, the
three-year period immediately following his termination.

               (b)    Right of Discharge Reserved. Nothing in the Plan or this
                      Stock Option Agreement shall confer upon the grantee or
                      any other person the right to continue in the employment
                      of the Company or any of its subsidiaries or affect any
                      right which the Company or any of its subsidiaries may
                      have to


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                      terminate the employment of the grantee or any other
                      person."

                                       AMN HEALTHCARE SERVICES, INC.


                                       /s/ Steven C. Francis
                                       -----------------------------------------
                                       By:  Steven C. Francis, President & CEO



                                       SUSAN NOWAKOWSKI

                                       /s/ Susan Nowakowski
                                       -----------------------------------------
                                       By: