--- sourceDocument: Australia Employee Service Management sourceDocumentLink: https://servicenow-prod.fluidtopics.net/r/pt-BR/employee-service-management Release : - australia ft:locale : - pt-BR ft:publication_title : - Australia Employee Service Management ft:clusterId : - emplsm bundleId : - emplsm workflow : - Employee --- # Hospital Affiliations form # Hospital Affiliations form {#ariaid-title1} * Versão de lançamento: Australia * * Atualizado 12 de mar. de 2026 * * ![](https://www.servicenow.com/docs/portal-asset/ico-clock) 1 min. de leitura Access, review and validate the Hospital Affiliation details of a healthcare professional in the Hospital Affiliations form. {#hr-hos-aff__table_l3d_s5j_jbc__entry__2} | Field | Description | |-|-| | Healthcare professional profile | Profile of the healthcare professional. | | Name | Name of the affiliated hospital at which the healthcare professional works. | | Privilege start date | Date starting which the healthcare professional has the required permissions to work at a hospital affiliation. Nota: This field appears only when Temporary is selected in the Privilege type field. | | Privilege end date | Date until which the healthcare professional has the required permissions to work at a hospital affiliation. Nota: This field appears only when Temporary is selected in the Privilege type field. | | Privilege type | Level of privilege the heathcare professional has at the affiliated hospital: Temporary or Fully unrestricted | | Type of admitting privilege | Nature of admitting privilege, for example, can the healthcare professional only admit a patient at an affiliated hospital, or admit, treat and perform surgeries at an affiliated hospital. | | Percentage of admissions | Percentage of admissions that the healthcare professional accepts at an hospital affiliation. | | Active | Option to indicate that the Hospital Affiliations record is active and available to use. | | Is primary | Option to indicate that it is the primary hospital that the healthcare professional is affiliated to. | | Status | Status of the hospital affiliations 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 profile data and reject due to insufficient date or invalid details. * Valid: When HR agents validate and approve the information provided by the healthcare professional. {#hr-hos-aff__ul_cnc_gxx_pbc} | | Address | Address of the affiliated hospital at which the healthcare professional works. | | City | City in which affiliated hospital is located. | | State/Province | State in which affiliated hospital is located. | | Zip | Postal code of area in which affiliated hospital is located. | | Country | Country in which affiliated hospital is located. | [Tabela 1. 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