Reading Physicians

We are very excited about the possibility of your group working with us. We hope that you all will find it both fulfilling and challenging. It is Global's policy that we have specific forms on file for all of our Reading Physicians. These papers include:

  • Credentials
    1. Reading Agreement (Provided via email)
    2. W9 form (Provided via email)
    3. Copy of CV(s)
    4. Copy of medical license(s)(without sanctions/restrictions)
    5. NPI number(s) (for billing purposes if applicable)
    6. Copy of professional liability coverage (Certificate of Insurance listing GDS as the certificate holder – this is not a request to be added as an additional insured)
    7. Copy of your protocol for our technicians (if applicable)
    8. HIPPA Compliance Agreement (Provided via email)
    9. General Safety Rules (Applicable if reading on client's site - provided via email)

Please fax the aforementioned papers back to us ASAP (678-750-1601). We look forward to beginning the process!



Respectfully yours,

GDS

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