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Credentialing Forms

These forms are required to verify licensing, training, and education of a practitioner. As you complete these items, please email or fax the documents to the Credentialing Office.


Fax: (902) 473-7433

Medical/Dental Staff Re-Appointment Application

Reappointment application for both medical and dental staff. 

February 22, 2024

Application For Change in Status of Medical/Dental Staff

Application for change for both medical and dental staff. 

January 24, 2022

Reference for Appointment to Nova Scotia Health

This form must be completed by your referees for appointment at NSH. Referees must be: (1) a current or previous medical leader; and/or (2) a person to whom the applicant reported for their current or most recent clinical activity)

January 24, 2022

Medical/Dental Staff Application Form

New appointment for both medical and dental staff.

January 24, 2022

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