Telemedicine Provider Credentialing Discovery Form

Streamline Telemedicine Provider Credentialing with Paperform

Credentialing telemedicine providers requires collecting extensive documentation across licensure, malpractice history, hospital privileges, DEA registration, and state-specific telehealth requirements. This Telemedicine Provider Credentialing Discovery Form template helps healthcare organizations, telemedicine platforms, and credentialing departments gather all necessary information efficiently and securely.

Built for Healthcare Credentialing Teams

Whether you're a telemedicine startup scaling your provider network, a healthcare system expanding virtual care services, or a credentialing specialist managing multi-state provider onboarding, this template captures the critical data points needed for comprehensive provider vetting. The structured format ensures compliance with telehealth regulations while creating a professional experience for providers going through your credentialing process.

Why Use Paperform for Provider Credentialing?

Paperform's SOC 2 Type II compliance and secure data handling make it ideal for collecting sensitive credentialing information. The conditional logic automatically adapts questions based on provider specialties, state licensure, and practice settings—so providers only see relevant questions. With file upload capabilities, providers can attach licenses, certifications, malpractice insurance documentation, and CV materials directly in the form.

After submission, use Stepper (stepper.io) to automate your credentialing workflow: route applications to credentialing committees, trigger verification processes with state medical boards, send reminder emails for missing documentation, and update your provider database automatically. This eliminates manual data entry and keeps your credentialing pipeline moving efficiently.

For contracts and attestations, Papersign (papersign.com) integrates seamlessly to send provider agreements, credentialing attestations, and compliance documents for eSignature immediately after the discovery phase—maintaining a complete audit trail from initial application through final approval.

Professional Credentialing, Zero Coding Required

This template is ready to customize with your organization's specific requirements, specialty-focused questions, and branding. Whether you're credentialing physicians, nurse practitioners, physician assistants, or mental health professionals for telehealth services, Paperform gives you the flexibility to adapt the form while maintaining the rigorous standards healthcare credentialing demands.