Allied Health Application Documents - Medical Staff Services

Application

• Code of Conduct
• Federal DEA/Maryland CDS Attestation
• Health Assessment Packet
• Maryland Hospital Credentialing Application
  UMMC Medical Staff Credentialing process has moved to a new electronic process called "MD- App". We no longer accept paper applications. To obtain login information you should contact the coordinator for your specialty.

*For UMMC-hired practitioners, contact your HR recruiter before downloading/completing for specific instructions.

• Pain Managment Policy
• Pain Management

Privilege Forms

• Additional Privileges/Department Change
• Certified Registered Nurse Anesthetist
• Nurse Midwife
• Nurse Practitioner
• Physician Assistant

Complete and Return

• Maryland Prescription Drug Monitoring Program (PDMP) Training Video
  • Prescription Drug Monitoring Program Attestation