Welcome to the Physician credentialing section. Please download and complete the PDF file below. If you do not have a PDF reader, you can download one for free at the Adobe website.
The completed credentialing packet can be scanned and submitted using the form below.
Credentialing packets can also be emailed to firstname.lastname@example.org or mailed to:
Acuity Specialty Hospital - Physician Credentialing
1925 Atlantic Avenue 7th floor / Wellness Pavilion
Atlantic City, NJ