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Get Wa 010207 2015
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How to fill out the WA 010207 online
The WA 010207 form is an important document for practitioners seeking credentialing within healthcare organizations. This guide provides clear and detailed instructions on how to efficiently complete the form online, ensuring all information is accurate and complete.
Follow the steps to successfully complete the WA 010207 form online.
- Press the ‘Get Form’ button to access the WA 010207 form and open it in your preferred document editor.
- Begin by providing your legal name, including any suffix such as Jr., Sr., or III. Also, list any other names you may have used in previous licensing or educational contexts.
- Fill out your home mailing address, including city, state, and zip code. Ensure to include a valid email address and telephone numbers for effective communication.
- Complete the sections regarding your professional background, including any licenses, certifications, and educational history. Be sure to provide dates in the mm/yyyy format, and avoid using abbreviations.
- In the practice information section, provide details about your current practice setting, including whether you accept new patients and the services offered.
- Respond to all attestation questions, carefully documenting any affirmative answers on the Attestation Question page. Ensure to provide additional details if required on separate sheets.
- Attach all requested documents as specified in the instructions, such as your DEA certificate and professional liability insurance face sheet.
- Review the completed application for accuracy, sign and date the required pages, and make any necessary modifications by striking out incorrect information and initialing the changes.
- Once all sections are filled out and reviewed, save the changes to the form. You may choose to download, print, or share the completed application as needed.
Complete your WA 010207 form online today to ensure your application process is smooth and efficient.
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