For Physicians

Credentialing Documents

  • Download the MALPRACTICE application here
  • Download the No Known Loss Statement here
  • If you do not have a completed TX state required credentialing application (also called the TDI or TSA), download blank application here

Please fax completed documents to us at 1-800-611-5029 (fax) or scan and email to: .(JavaScript must be enabled to view this email address)

Testimonials

Harris Brooks, CEO
Palo Pinto General Hospital

“The agreement … with Concord has turned out to be excellent for Palo Pinto General Hospital and for our patients. You have worked with us closely to assure us that each physician you present for coverage in our Emergency Department fits our needs and understands working in a rural hospital. I can say that you have proven yourself to us. The issues in our ER have declined and our patients are seen in a timely and professional manner. The complaints about billing have come to an abrupt halt. Should there be an issue, Concord makes themselves available and addresses it. The communication lines are always open with you and our physicians. Our partnership is an excellent one that we anticipate lasting for many years.”

Affiliate Hospitals