If you’re new and would like to be part of our network, please complete Join the Network Form.

    This form is for groups that are already part of our network.

    Add a new provider to your credentialed group by completing the form.

    Submit one form for each new practitioner.

    Only for locations in Idaho, Montana, or Wyoming

    Need credentialing for your organization? Complete this form.

    Questions or support? [email protected]

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