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Affiliate Verification

By utilizing this site, you attest that your organization is a healthcare entity that utilizes this information for protected peer review purposes only. Additionally, you are confirming that you have a current release from the physician/practitioner on-file granting you permission to obtain information regarding his/her affiliation and privileges from our facility.

    1. I attest that my organization is a healthcare entity that utilizes this information for protected peer review purposes only. *
    2. I attest that my organization has a current release from the physician/practitioner on-file granting you permission to obtain information regarding his/her affiliation and privileges from our facility. *
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Provider Search
  1. Begin typing the provider's last name, click the name to choose the provider and display the birthdate field below.