--- 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 --- # Practice location form # Practice location 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, update, and validate the practice location details of a healthcare professional in the Practice location form. {#hr-prac-loc__table_l3d_s5j_jbc__entry__2} | Field | Description | |-|-| | Professional profile | Professional profile of the healthcare professional. | | Practice name (in Directory) | Practice name of the healthcare professional. | | Corporation name (in W-9 form) | Name of the corporation in (W-9 format) to verify name, address, and tax ID. | | Primary tax ID type | Type of tax ID: Primary or Individual. | | Individual tax ID | Individual Tax ID number against which taxes are collected from the healthcare professional. | | Group tax ID | Group tax ID (Employer Tax ID) against which taxes are collected. | | Credentialing reference | Option to add a professional reference. | | Office schedule | Working schedules of the health care professional, for example, 24 X 7. | | Accept new patients | Option to indicate that the healthcare professional can accept new patients. | | Accept new medicaid patients | Option to indicate that the healthcare professional can accept new medicaid patients. | | Accept new medicare patients | Option to indicate that the healthcare professional can accept new medicare patients. | | Active | Option to indicate that the practice location record is available to use. | | Is current location | Option to indicate that this is the current practice location of the health care professional. | | Is billing electronic | Option to indicate that electronic billing is generated at the affiliated hospital for the services rendered by healthcare professional. | | Send correspondence here | Option to indicate that any correspondence (examples: letters) to the healthcare professional can be sent to the affiliated hospital. | | Status | Status of the practice location 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. {#hr-prac-loc__ul_cnc_gxx_pbc} | | Address | Address of practice location. | | City | City in which practice location is situated. | | State/province | State in which practice location is situated. | | Zip/postal code | Postal code of area in which the practice location is situated. | | Country | Country in which the practice location is situated. | [Tabela 1. Practice Location form] {#hr-prac-loc__table_l3d_s5j_jbc} **Referência relacionada** * [Installed with HR Service Delivery for Healthcare](https://servicenow-prod.fluidtopics.net/RwDDTsUrng_2Wdr~g2XkgA "Several types of components are installed with activation of the HR Service Delivery for Healthcare plugin, including tables and user roles.") * [Healthcare professional profile form](https://servicenow-prod.fluidtopics.net/knwYIon6jzwHELOFjKVSaA "Access and update confidential HR data of an healthcare professional, such as name, personal contact information, email addresses, professional liability insurance details, and medical degree, using the Healthcare professional profile form.") * [Professional ID form](https://servicenow-prod.fluidtopics.net/5SiFqmepc1WDiP9pBIkKzw "Access, update, and validate the Professional ID details of a healthcare professional in the Professional ID form.") * [Professional liability Insurances form](https://servicenow-prod.fluidtopics.net/tF06DYbg2mM6eakzPZ5F0w "Access, update, and validate the Professional liability Insurance details of a healthcare professional in the Professional liability form.") * [Professional reference form](https://servicenow-prod.fluidtopics.net/u0dL0BtAykosdTulOwk9EQ "Access and validate the Professional reference details of a healthcare professional in the Professional reference form.") * [Professional speciality form](https://servicenow-prod.fluidtopics.net/C__esoFB4bbxjLtWUPlLDg "Review and update the Professional speciality details of a healthcare professional in the Professional speciality form.") * [Malpractice history form](https://servicenow-prod.fluidtopics.net/IRY5FQ7qiOOjkVlXqt7nnQ "Access, update, and validate the Malpractice history details of a healthcare professional in the Malpractice history form.") * [Education and Training form](https://servicenow-prod.fluidtopics.net/thK2IoKRqY3Gw9uSoiEBgA "Access, update and validate the Education and training details of a healthcare professional in the Education and training form.") * [Employment history form](https://servicenow-prod.fluidtopics.net/JswRGJ6vvDm4rJY2~53yxQ "Access, update, and validate the Employment history details of a healthcare professional in the Employment history form.") * [Languages Spoken form](https://servicenow-prod.fluidtopics.net/hl2D3faZi8nWdfRsdNhW9A "Access, update, and validate the language details of a healthcare professional in the Languages form.") * [Hospital Affiliations form](https://servicenow-prod.fluidtopics.net/V6IEHmEP2jG2n698zhr1rA "Access, review and validate the Hospital Affiliation details of a healthcare professional in the Hospital Affiliations form.") * [Payers Enrollment form](https://servicenow-prod.fluidtopics.net/SHwERIaAByEkhFuUBCXXvA "Access, review and validate the Payers Enrollment details of a healthcare professional in the Payer enrollment form.") * [Healthcare Employee Onboarding form](https://servicenow-prod.fluidtopics.net/g14SUV9QTrVgLaJrflPUoQ "A hiring agent or a manager places an onboarding request for a healthcare professional via the Healthcare Employee onboarding form in Employee Center.")