KAISER PERMANENTE HEALTHCARE DELIVERY ORGANIZATION (HDO)
Facility Administrator: Kaiser Foundation Health Plan of Washington (“Kaiser Permanente”) evaluates the quality of the healthcare delivery organizations with which it contracts. Below you will find a facility credentialing application to complete and submit along with the required documents within 10 business days. Hereafter we will collect this same information at least every three years or until your facility’s contract ends with Kaiser Permanente. PLEASE NOTE: There are multiple documents required which are listed at the end of this form under "Attachments". If any field is not applicable, please enter N/A or zeros if it's a numerical field.