Credentialing Forms Listing
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| TDI Form Number | Description | File Format | Language |
|---|---|---|---|
| LHL234 |
Application Package |
English | |
| LHL234a |
Other Professional Degrees Attachment A |
English | |
| LHL234b |
Other Post-Graduate Education Attachment B |
English | |
| LHL234c |
Other Work History Attachment C |
English | |
| LHL234d |
Other Current Hospital Affiliations Attachment D |
English | |
| LHL234e |
Other Previous Hospital Affiliations Attachment E |
English | |
| LHL234f |
Other Practice Locations Attachment F |
English | |
| LHL234g |
Malpractice Claims History Attachment G |
English |
For more information, contact: MCQA@tdi.texas.gov