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Managing Mental Health, Intellectual/Developmental Disabilities and Substance Abuse Services 9106739111 (FAX) 9106736202 www.sandhillscenter.org Victoria White, Hospital Based Inpatient Psychiatric
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How to fill out re-credentialing application

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Start by reviewing the re-credentialing application form to familiarize yourself with the required information.
02
Gather all relevant documents such as updated licenses, certifications, and malpractice insurance certificates.
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Complete each section of the application form accurately and thoroughly. Provide all necessary details about your education, work experience, and professional affiliations.
04
Attach any supporting documents requested, ensuring they are legible and up to date.
05
Double-check your application for any errors or omissions before submitting it.
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Submit the completed application along with the required fees, if any, to the designated authority or credentialing organization.
07
Follow up with the authority or organization to ensure that your application is being processed and to address any additional requirements if needed.

Who needs re-credentialing application?

01
Healthcare professionals such as doctors, nurses, dentists, pharmacists, and other licensed practitioners who are already credentialed and wish to maintain their privileges or continue practicing in a specific healthcare facility or network.
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Re-credentialing application is a process where healthcare providers need to update their credentials and submit necessary information to maintain their status and privileges.
Healthcare providers such as doctors, nurses, and other licensed professionals are required to file re-credentialing application.
Healthcare providers need to carefully review the application form, provide accurate information, and submit supporting documents as required.
The purpose of re-credentialing application is to ensure that healthcare providers meet the necessary qualifications and standards to continue practicing.
Healthcare providers must report their current license, certifications, education, work history, malpractice history, and any disciplinary actions.
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