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Provider Credentialing Information
To be considered as a provider to participants in the HPRP, please print out and complete the Provider Information Summary and Provider Statement of Understanding. Mail these forms with a current copy of your vitae and verification of liability insurance to:
This information will be used solely for the purpose of identifying individuals and facility providers who maintain an interest in providing evaluations and treatment services for impaired health professionals from the State of Michigan. If approved, contracts will not be exclusive as HPRP reserves the right to contract with various other providers in the substance abuse/mental health community.
It is the aim of HPRP to maintain a premier provider network to meet the unique treatment needs of program participants.
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