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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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