McLaren Online Credentialing Application

Instructions:

  • Please click on the fillable PDF application link below 
  • You will need to complete the entire application. 
  • Save your application on your computer.
  • Once you have completed the application, you may email, fax and/or mail your application to each of the McLaren Subsidiaries you would like to be credentialed. 
  • The contact information for the subsidiaries is listed on the designation pages [pgs. 1-2] of the application. 
  • Upon receipt of your application, each healthcare facility/organization will forward to you information specific to your membership/affiliation. 

If you have any questions or require additional information, please contact the appropriate representative listed on the designation pages [pgs. 1-2]