Sc credentialing application 2025

1. Click ‘Get Form’ to open the SC Credentialing Application in the editor.
2. Begin by filling out your personal information. Include your name, place of birth, date of birth, and social security number. Ensure accuracy as this information is crucial for verification.
3. Proceed to the Medical License/Registration section. Indicate if you offer OB care and list your current professional license numbers along with their issue and expiration dates.
4. In the Education/Training/Hospital Privileges section, provide details about your medical school, internship, residency, and any fellowships completed. Be sure to include dates and specialties.
5. Complete the Malpractice Information section by listing your current and previous malpractice insurance carriers along with policy details.
6. Answer all questions in the Authorization section honestly. This includes any pending charges or past disciplinary actions that may affect your application.
7. Finally, review all entered information for accuracy before signing and submitting the application. Remember that rubber stamped signatures are not acceptable.

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