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Maryland Department of Health
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FORMS
Hospital forms can be downloaded and viewed with
Adobe Acrobat® and/or MSWord
.
Initial Report of an Adverse Event
Short RCA for Reviewing Hospital-acquired Stage III/IV Pressure Ulcers
Medical Professional Liability Closed Claim Survey (Word)
NOTE:
The Medical Professional Liability Closed Claim Survey in Word® format can be filled out and saved on your computer using Microsoft Word®.
Medical Professional Liability Closed Claim Survey (PDF) Print Only
Maryland Hospital Credentialing Application
Maryland Hospital Credentialing Application
In 2002, the Maryland General Assembly passed SB 819- Hospitals- Uniform Standard Credentialing Form. The bill required the Department, in conjunction with stakeholders, to develop an application for the initial credentialing of health care practitioners to Maryland hospitals.
Click here for the Instructions
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