For almost 40 years, the El Paso County Medical Society CCVS has been a trusted resource for many health care organizations in southern Colorado. Our reputation is that of a reliable, efficient, helpful service that is a benefit not only to our clients, but also to the many physicians we serve.
Click here to download the application as a pdf.
The health care facilities in our community use this application for all initial applications and subsequent reappointments. All practitioners should maintain a master copy of this application as an electronic or paper file, for future credentialing events.
- The information on the application is correct and current
- The application is signed and dated within a month of submission