In order to download some documents on this site, you must have Adobe Acrobat Reader installed on your computer. You may obtain a free copy of the reader at the Adobe Acrobat home page.

WA Standardized Delegated Practitioner Profile:

You may download the Washington Standardized Delegated Practitioner Profile:

Word for Windows:   WSDPP.doc

PDF for any computer
with at least Adobe
Acrobat 3.0 or above: WSDPP.pdf

Washington Practitioner Application (WPA) & Release:

You may download the Washington Provider Application for 2007.

Please replace all older versions of the WPA with the 2007 version for all new applicants.  Hospitals and Health Plans may require additional forms be filled out if an older version of the WPA is submitted.

Word for Windows:    WPA2007.doc

PDF for any computer
with at least Adobe
Acrobat 3.0 or above: WPA2007.pdf

You may download the WPA Release:

Word for Windows:  Release.doc

PDF for any computer
with at least Adobe
Acrobat 3.0 or above: Release.pdf

You may download the Reappointment Attestation Questions form: Please note, not all Washington State healthcare organization use this form.  You may be required to complete an entity specific form.

Word for Windows:  2005WPAReappointmentQuestionsFINAL.doc

PDF for any computer
with at least Adobe
Acrobat 3.0 or above: 2005WPAReappointmentQuestionsFINAL.pdf

 

Washington Credentialing Audit Tool (WCAT):

You may download the Washington State Credentialing Audit Tool:

Word for Windows:
2006 Credentialing Audit Tools:  06WCSGWCAT

Excel for Windows:
2006 Credentialing Worksheets Long version:  06WCSGFRWLONGVERSION

2006 Credentialing Worksheets Short version:  06WCSGFRWSHORTVERSION

PDF for any computer
with at least Adobe
Acrobat 3.0 or above:
2006 Credentialing Audit Tools: 06WCSGWCAT 

PDF for any computer
with at least Adobe
Acrobat 3.0 or above:
2006 Credentialing Worksheets(Long version):  06WCSGFRWLONGVERSION

2006 Credentialing Worksheets(Short version):  06WCSGFRWSHORTVERSION

 

Useful Links:

AAAHC Accreditation Assn for Ambulatory Health Care
http://www.aaahc.org

American Medical Association Masterfile Request
https://profiles.ama-assn.org/amaprofiles

American Osteopathic Association Profile Request
https://secure.aoa-net.org/webprof/

CertificationTest Quiz
http://www.msspnexus.com

College of American Pathologists (CAP)
http://www.cap.org

Commission on Accreditation of Rehabilitation Facilities (CARF)
http://www.carf.org

El Centro College -
http://www.elcentrocollege.edu/default.asp

Federation of State Medical Boards
http://www.fsmb.org

Hospitals organized by state and city
http://www.hospitaldirectory.com

HHS Office of Inspector General Exclusions and Reinstatements Updates
http://oig.hhs.gov/fraud/exclusions/database.html#1

Joint Commission on Accreditation of Healthcare Organizations
http://www.jcaho.org

National Association of Medical Staff Services
http://www.namss.org

National Committee for Quality Assurance
http://www.ncqa.org

URAC/American Accreditation Healthcare Commission
http://www.urac.org/

Top

Site updated by Kate Cross, CPMSM, CPCS