University of Michigan Health System
  Telemedicine Resource Center    
   
about the TRC
for UMHS faculty and staff
information for external partners
information for patients and families
 

Working with TRC         Credentialing

Information Abuot Technology     Telemedicine Forms

 

 
 

 

Telemedicine Forms


University Of Michigan Health System Physician Authorization For Release Of Credentialing And Privileging Information

Download Form
(PDF Format, 11 KB)

University Of Michigan Health System Requerst For Physician Credentialing And Privileging Information
Download Form
(PDF Format, 10 KB)

 


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