Skip to content
Release: Australia · Updated: 2026-03-12 · Official documentation · View source

Professional reference form

Access and validate the Professional reference details of a healthcare professional in the Professional reference form.

FieldDescription
Professional profileProfessional profile of the healthcare professional.
First nameFirst name of the user who is added as professional reference.
Last nameLast name of the user who is added as professional reference.
Reference typeReference type of the user: Credentialing or Professional.
Contact preferencePreferred mode of communication for the user who is added as professional reference.
EmailEmail address of the user who is added as professional reference.
Phone numberPhone number of the user who is added as professional reference.
FaxFax number of the user who is added as professional reference.
ActiveOption to make the professional reference record available to use.
StatusStatus of the professional reference record:- New: When profile intake form is sent to the healthcare professional for filling. - Pending validation: When data is filled in by healthcare professional and sent for credentialing and validation to HR agents. - Invalid: When HR agents review the data and reject due to insufficient or invalid details. - Valid: When HR agents validate and approve the information provided by the healthcare professional.
Provider typeDegree awarded to the user.
Other provider typeOther type of degree awarded to the user.
AddressAddress of the user.
CityCity in which user resides.
State/ProvinceState in which user resides.
Zip/Postal CodePostal code of user address
CountryCountry in which user resides.

Parent Topic:HR Service Delivery for Healthcare reference

Related topics

Installed with HR Service Delivery for Healthcare

Healthcare professional profile form

Professional ID form

Professional liability Insurances form

Professional speciality form

Malpractice history form

Education and Training form

Practice location form

Employment history form

Languages Spoken form

Hospital Affiliations form

Payers Enrollment form

Healthcare Employee Onboarding form