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:

WSDPP.doc                WSDPP.pdf

Washington Practitioner Application (WPA) & Release:

Please replace all older versions of the WPA with the 2009 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.

WPA.doc                WPA.pdf

Release.doc                 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.

WPAReappointment.doc

WPAReappointment.pdf

 

Washington Credentialing Audit Tool (WCAT):

Word for Windows 2006 Credentialing Audit Tools:  06WCSGWCAT

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

2006 Credentialing Worksheets Short version:  06WCSGFRWSHORTVERSION

PDF:
2006 Credentialing Audit Tools: 06WCSGWCAT 

2006 Credentialing Worksheets(Long version):  06WCSGFRWLONGVERSION

2006 Credentialing Worksheets(Short version):  06WCSGFRWSHORTVERSION

 

Useful Links:

AAAHC Accreditation Assn for Ambulatory Health Care
American Medical Association Masterfile Request
American Osteopathic Association
CertificationTest Quiz
College of American Pathologists (CAP)
Commission on Accreditation of Rehabilitation Facilities (CARF)
Exclusions-GSA Excluded Parties List
Exclusions-Office of Inspector General Search
Exclusions-Office of Inspector General Download

Federation of State Medical Boards
Hospitals organized by state and city
Joint Commission

Medicare Opt Out List
National Association of Medical Staff Services
National Committee for Quality Assurance
NIAHO
URAC/American Accreditation Healthcare Commission
 

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Site updated by Cheryle Whisenhunt 3-24-2009