To obtain more information about becoming a BHS network affiliate, please send us an email message by clicking here or call our Provider Relations Department at 1-800-942-6640. We will gladly contact you at our earliest opportunity.

You may also initiate the credentialing process by downloading the following application forms:

Once you have completed the form(s), you may send these documents electronically via email to You may also send your application packet to the BHS Provider Relations Department at the address indicated on the application.

Remember to include current copies of your résumé or curriculum vitae, clinical licensure/certification and malpractice insurance certificate.