* Links for Credentialing packets

Applications for Professionals who are new to the process and desire to be on the panel of Licensed Independent Practitioners (LIP) in the CMHPSM.

Please choose the appropriate Crdentialing packet for your profession. You must also submit a DHS and RFP Application form.

• Credentialing Packet for Doctors and Nurses
  
  
• Credentialing Packet for Non-Registered Professionals (Speech & Lang., Recreational, Music, Art and Massage Therapy)
  
  
• Credentialing Packet for State Registered Professionals (Psychology, Social Work, Counseling, OT, PT and Nutrition)
  
  
• DHS Central Registry Form (Must be included)  ** Please read the instructions on the last page of the packet!!
  
  
• RFP Application (Must be included)