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Uniform Credentialing Application

Note:  The files on this page have been converted to PDF files. You will need the Adobe™ Acrobat ™ Reader to view the files.  A short-cut is provided on the left in the blue column.


The completed application may be submitted to hospitals, ambulatory surgery centers, managed care organizations, and other entities requiring credentials verification.   

PLEASE DO NOT SEND THE APPLICATION TO THE
OKLAHOMA STATE DEPARTMENT OF HEALTH


Law and Rule

    Law Excerpt, 63-1-106.2 (12K PDF)

    Rule Excerpt, 310:2-15 (10K PDF)


Application

 


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Contact Information

Managed Care Systems
Health Resources Development Service

1000 N.E. 10th Street
Oklahoma City, OK 73117
Main  405.271.6868
Fax  405.271.5304
E-mail   Click here to email a question 

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