Discover the Altais Care Network
Your Path to Success Begins Here
Step 1
Complete the NDA, LOI, and if NOT CAQH current, the Credentialing Application.
*Don’t forget to sign where indicated.
Step 3
Upload the completed NDA, LOI, and Credentialing Application AND curriculum vitae.
Step 2
Complete ALL the fields as indicated in the form below.
Step 4
Submit the form and a member of our growth team will be in contact with you.
Non-Disclosure Agreement
To receive confidential information on rates, please download and complete the non-disclosure agreement (NDA).
Letter of Interest
To begin the application process, all interested physicians must download and complete this letter of interest (LOI) form.
Have some initial questions?
Our frequently asked questions (FAQ) document is now available. Take a moment to download and review more details about our network.
Want to set up some time to discuss further?
Do you have additional questions or ready to get the process started? Schedule a call or meeting with a member of our Network Development team.