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Credentialing Forms

These credentialing applications are provided for your convenience. However, for full credentialing information, contact HPK® at (316) 652-1327 or (800) 633-9917.

HPK® is not a member of CAQH, however we do accept copies of the completed paper application.

These forms require Adobe Reader. If you do not have Adobe Reader, you may download it free here:
Get Acrobat Reader (this link opens a new browser window).