SHPS APPLICATION REQUEST FORM 2026

1. Click ‘Get Form’ to open the SHPS APPLICATION REQUEST FORM in the editor.
2. Begin by filling in the required fields marked with an asterisk (*). Start with the Practitioner's Name, including First, Middle, and Last names.
3. Select the appropriate Degree from the dropdown options provided. Ensure you enter your Date of Birth in mm/dd/yyyy format and provide your email address.
4. Indicate whether you are still in residency and provide your anticipated graduation date if applicable. Answer questions regarding board certification and whether you will be contracted or employed by the hospital.
5. Complete the Practitioner Office Information section, indicating if you are joining an established practice. Fill in office details such as address, phone, and fax numbers.
6. Review all sections for accuracy before submitting. Once completed, download or share your form directly through our platform for free.

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