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CHL Credentialing Form

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The document is a Credentialing Profile Form for Community Healthlink, Inc. It outlines the requirements and information needed for credentialing healthcare providers, including personal information, education, licensure, certifications, and professional experience. Providers must submit various documents such as licenses, degrees, resumes, and Medicare details. The form also includes sections for admitting privileges, managed care paneling, language proficiency, and a questionnaire regarding any disciplinary actions or investigations related to the provider's professional history.

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Versions	Form popularity	Fillable & printable
2012	4.4 Satisfied (57 Votes)
2011	4 Satisfied (20 Votes)

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