Get Uhpcaf Part 1. Initial Credentialing Application

The UHPCAF Part 1. Initial Credentialing Application is essential for healthcare practitioners seeking credentialing from various healthcare entities in Georgia. This guide provides clear, step-by-step instructions to help users complete the application accurately and efficiently online.

Follow the steps to efficiently complete your credentialing application.

1. Click the ‘Get Form’ button to obtain the form and open it in your editor.
2. Carefully read all general instructions on the application form. Provide information as specified, ensuring legibility and accuracy.
3. Fill out the identifying information section, providing your full legal name, contact details, citizenship status, and relevant identification numbers.
4. Complete the practice information section. Include details about your primary and secondary clinical practices, along with relevant contact information.
5. In the certification section, indicate if you are certified by any board and list all current and past board certifications.
6. Provide your educational background in the education, training, and professional experience section, including details for undergraduate, postgraduate, and professional training.
7. Detail any current hospital affiliations and relevant work history in the corresponding sections, ensuring to list correctly and in reverse chronological order.
8. List three professional references who can attest to your qualifications, ensuring at least one is from a peer in your field.
9. Complete the professional liability insurance section, detailing your current and previous insurance coverage and answering related claims questions.
10. Address any health status questions truthfully, and complete the attestation section to certify the information provided is accurate.
11. Review the entire application for completeness and accuracy. Make necessary corrections using the approved methods outlined in the instructions.
12. After completing the application, save your changes, and prepare to submit the document as instructed, along with any required attachments.

Complete your UHPCAF Part 1. Initial Credentialing Application online today to streamline your credentialing process!