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You are here: www.tdi.texas.gov . forms . form9credential

Credentialing Forms Listing

This is one of several pages linking to a central repository of forms used by TDI customers. Use the search or Forms by Type links on the Forms Home Page or scan through our form listings.

Managed Care Quality Assurance Main Forms Listing

Help for Texas Standardized Credentialing Application

Credentialing Forms Listing
TDI Form Number Description File FormatLanguage
LHL234
Application Package - Web Enterable
WORDEnglish
LHL234
Application Package
PDFEnglish
LHL234a
Other Professional Degrees - Web Enterable
A
WORDEnglish
LHL234a
Other Professional Degrees
A
PDFEnglish
LHL234a
Other Professional Degrees - Web Enterable
A
RTFEnglish
LHL234
Application Package - Web Enterable
RTFEnglish
LHL234b
Other Post-Graduate Education - Web Enterable
B
PDFEnglish
LHL234b
Other Post-Graduate Education
B
PDFEnglish
LHL234b
Other Post-Graduate Education - Web Enterable
B
RTFEnglish
LHL234c
Other Work History - Web Enterable
C
WORDEnglish
LHL234c
Other Work History
C
PDFEnglish
LHL234c
Other Work History - Web Enterable
C
RTFEnglish
LHL234d
Other Current Hospital Affiliations - Web Enterable
D
WORDEnglish
LHL234d
Other Current Hospital Affiliations
D
PDFEnglish
LHL234d
Other Current Hospital Affiliations - Web Enterable
D
RTFEnglish
LHL234e
Other Previous Hospital Affiliations - Web Enterable
E
WORDEnglish
LHL234e
Other Previous Hospital Affiliations
E
PDFEnglish
LHL234e
Other Previous Hospital Affiliations - Web Enterable
E
RTFEnglish
LHL234f
Other Practice Locations - Web Enterable
F
WORDEnglish
LHL234f
Other Practice Locations
F
PDFEnglish
LHL234f
Other Practice Locations - Web Enterable
F
RTFEnglish
LHL234g
Malpractice Claims History - Web Enterable
G
WORDEnglish
LHL234g
Malpractice Claims History
G
PDFEnglish
LHL234g
Malpractice Claims History - Web Enterable
G
RTFEnglish


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Last updated: 11/10/2014

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Translation by WorldLingo


Translation by WorldLingo