Credentialing Forms
Please email completed forms to contracting@oklahomacompletehealth.com.
- Credentialing Check List (PDF)
- Credentialing Requirements (PDF)
- Organizational Provider Application (PDF)
- Practitioner Practice Change Form (PDF)
- Uniform Credentialing Application (PDF)
- Ancillary Application Instructions (PDF)
- Ancillary Application (PDF)
- Ancillary Roster Template (DOCX)
- W-9 Template (PDF)
- Credentialing Non Required Provider Types (EXCEL)