For Physicians

Credentialing Documents

  • Download the MALPRACTICE application here
  • Download the No Known Loss Statement here
  • If you do not have a completed TX state required credentialing application (also called the TDI or TSA), download blank application here

Please fax completed documents to us at 1-800-611-5029 (fax) or scan and email to: .(JavaScript must be enabled to view this email address)

Testimonials

Hospital Administrator
Colorado-Fayette Medical Center

“I did want to share with you a compliment (re: Doctor). I had a patient’s family stop by the other day to voice their appreciation of the care (Doctor) took of their loved one. They were impressed with her bedside manner, her skills, and her overall professional demeanor. Their loved one is recuperating and doing better and they are very thankful for CFMC and Doctor.” “I have been very impressed with the ER doctors. It’s refreshing to have the number of compliments we are receiving. VERY REFRESHING!!! Keep up the great work!!!!”

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