Information for Allied Health Professionals
If you are eligible for privileges as a
member of the hospital Medical Staff or healthcare network of a TPQVO
client facility but are not a physician, dentist, or podiatrist, you
will need to complete the appropriate application form listed on the
page. You will select the "Allied Health" form for your area.
If you fill out the Physician application form, you will need to
resubmit your application using the appropriate allied health form.
Initial Application Process
Some TPQVO client organizations require pre-application screening and
will not accept an application without first contacting the medical
staff or professional relations office. Please contact the
healthcare organization's office first if you have any question about
your eligibility for membership/affiliation.
TPQVO will send the appropriate application for reappointment or
recredentialing to medical staff and network members according to the
regional reappointment schedule. Therefore, these forms are not
available through this website. For more information about the
standard recredentialing schedule used by some clients, please click
If you have any questions about the appropriate form for your
circumstances, please call the healthcare organization (TPQVO client) to
which you are applying or reapplying for privileges.
File Set Up and Query Fees
There is a one-time file set up fee charged for any first time application
for initial privileges. This fee is noted on the application cover letter
describing all necessary documentation that you must send in with your
completed application. TPQVO will not begin processing your file
until this fee is paid. Also, most healthcare organizations will
not accept an application as complete without the additional items
listed on the cover letter.
Additionally, TPQVO will bill you for any primary source query fee
(i.e., graduate schools, national certification boards) charged to TPQVO
for providing a verification of your credential. You will
not be billed for information TPQVO can reuse from previous times your
file was processed for a TPQVO client facility.
File set up fees and query fees may be paid by
check or by credit card. Credit card processing is only
available via the TPQVO
secure internet gateway.
Questions? Contact us at