The current holding statement would go here. Update the statement as necessary. The current holding statement would go here. Update the statement as necessary. The current holding statement would go here. Update the statement as necessary. The current holding statement would go here. Update the statement as necessary. The current holding statement would go here. Update the statement as necessary. The current holding statement would go here. Update the statement as necessary. The current holding statement would go here. Update the statement as necessary. The current holding statement would go here. Update the statement as necessary. The current holding statement would go here. Update the statement as necessary. The current holding statement would go here. Update the statement as necessary. The current holding statement would go here. Update the statement as necessary.
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| Form | Purpose | Due date |
|---|---|---|
| Continuity of Care Form | To secure admitting privileges at another participating hospital, or an admitting arrangement with participating hospitalists who have admitting privileges at another participating hospital | <date> |
| Applicant’s Authorization and Release form | <date> | |
| Hospital Credentialing and Admitting form | <date> |
Contact Network Management at XXX-XXX-XXXX
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