Step Two: Please review the following list for any additional documents you may need to complete the credentials process.

Ownership Controlling Interest Disclosure:
This form applies to all providers.

• Ownership Controlling Interest Disclosure Form

Primary Admitting Facility Arrangements:
This form only applies to MD's, DO's, and certain allied health PCP's who do not have admitting privileges. Use this form to document the arrangements you have made to admit your patients if you are required to have admitting privileges, or if your courtesy, consulting, or ambulatory medicine privileges do not allow you to admit patients.

• Primary Admitting Facility Arrangements