Welcome to HSC’s credentials verification on-line and document download services. You can now access all of the documents necessary for the credentials verification process. Follow the step-by-step instructions to enter your application on-line or download and print the appropriate documents, then complete, sign and mail them to us promptly so that we can process your application for appointment. Submitting the application on-line will allow you to prepopulate your information.

Instructions

All three steps must be completed regardless of whether you choose to submit your application on-line or download it!

Step One: The Colorado Application must be downloaded.

Colorado Application - Word Format

Colorado Application - PDF Format

Step Two: Locate the organization(s) to which you are applying from the list below and download the appropriate privilege forms, bylaws and other documents. If you select a facility and find that "no additional documents are necessary," you may proceed to step three. Questions can be directed to 505-343-0070.

Notice: These additional documents are Adobe PDF files, and should be viewed with Adobe Acrobat Reader. If you do not currently have the Acrobat Reader on your system, you can download a free copy.

Colorado Organizations

• Advanced Care Hospital of Northern Colorado, Inc. DBA Northern Colorado Long Term Acute Hospital
• Northern Colorado Rehabilitation Hospital
• Total Longterm Care: No additional documents necessary.



Step Three: Return the application and release, and all other completed and signed documents to HSC within fifteen days from the date of our letter to you.

Hospital Services Corporation
P. O. Box 92200
Albuquerque, NM 87199-2200
Facsimile: (505) 346-0288



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