Credentialing Forms

Please email completed forms to contracting@oklahomacompletehealth.com. 

• Credentialing Check List (PDF)
• Credentialing Requirements (PDF)
• Organizational Proivder Application (PDF)
• Practitioner Practice Change Form (PDF)
• Uniform Credentialing Application (PDF)
• Ancillary Application Instructions (PDF)
• Ancillary Application (PDF)
• Ancillary Roster Template (Excel)
• W-9 Template (PDF)