Applications: Clinical Staff Office: University of Iowa Health Care

Physicians (MD/DO)

The following application materials must be submitted to a clinical department within the University of Iowa Hospitals and Clinics, to apply for privileges/credentialing as a MD or DO at the University of Iowa Hospitals and Clinics.

1. Application Checklist - this document will aid you in attaching the appropriate documentation. Choose from Hard Copy or Template.

2. Iowa Statewide Universal Practitioner Application

Hard Copy - to print first, then fill in by hand
Template - to fill in on computer, print, then sign

Additional application pages:

Education Hardcopy Template

Hospital Privileges Hardcopy Template

Office Practice Hardcopy Template

Practice History Hardcopy Template

Training Hardcopy Template

3. Departmental Delineation and Release

Last modification date: Mon May 18 15:06:47 2009
URL: http://www.uihealthcare.com /depts/clinicalstaffoffice/applications/physicians.html