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Uniform Credentialing Application
A. By January 1, 1999, the State Board of Health shall promulgate rules necessary to develop a uniform application which shall be used in the credentialing process of health care providers. The State Department of Health shall develop such application form for: 1. Initial privileges or membership in a hospital, managed care organization, or other entity requiring credentials verification; and 2. Recredentialing or reappointment in a hospital, managed care organization, or other entity requiring credentials verification. B. Any entity requiring credentials verification may require supplemental information. NOTE: Applications on this page have been converted to .PDF files. The .PDF file format is only viewable with the Adobe (TM) Acrobat (TM) Reader. If you do not already have the Acrobat(TM) reader, you may get it FREE from Adobe(TM). There you will find complete instructions on how to acquire the reader to fit your system. After you have the reader installed correctly, click on one of the files below to download. Law and Rule Law Excerpt, 63-1-106.2 (12K) Rule Excerpt, 310:2-15 (10K) Application Uniform Credentialing Application, ODH Form 606 (53K) Click here for the application in Word format. Contact Information
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State of Oklahoma
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