Professional reference form

  • Versão de lançamento: Australia
  • Atualizado 12 de mar. de 2026
  • 1 min. de leitura

    • Access and validate the Professional reference details of a healthcare professional in the Professional reference form.

    Tabela 1. Professional Reference form
    Field Description
    Professional profile Professional profile of the healthcare professional.
    First name First name of the user who is added as professional reference.
    Last name Last name of the user who is added as professional reference.
    Reference type Reference type of the user: Credentialing or Professional.
    Contact preference Preferred mode of communication for the user who is added as professional reference.
    Email Email address of the user who is added as professional reference.
    Phone number Phone number of the user who is added as professional reference.
    Fax Fax number of the user who is added as professional reference.
    Active Option to make the professional reference record available to use.
    Status Status of the professional reference record:
    • New: When profile intake form is sent to the healthcare professional for filling.
    • Pending validation: When data is filled in by healthcare professional and sent for credentialing and validation to HR agents.
    • Invalid: When HR agents review the data and reject due to insufficient or invalid details.
    • Valid: When HR agents validate and approve the information provided by the healthcare professional.
    Provider type Degree awarded to the user.
    Other provider type Other type of degree awarded to the user.
    Address Address of the user.
    City City in which user resides.
    State/Province State in which user resides.
    Zip/Postal Code Postal code of user address
    Country Country in which user resides.