{"id":261,"date":"2019-04-26T19:31:28","date_gmt":"2019-04-26T19:31:28","guid":{"rendered":"http:\/\/ghsmsws4.ghsbtr.net\/verityhealth\/index.php\/provider-request-form\/"},"modified":"2025-09-02T18:11:23","modified_gmt":"2025-09-02T18:11:23","slug":"join-our-network-form","status":"publish","type":"page","link":"http:\/\/verityhealth.com\/index.php\/join-our-network-form\/","title":{"rendered":"Join Our Network Form"},"content":{"rendered":"<p><!-- epsilon\/advanced-slider --><br \/>\n<!-- epsilon\/Slides --><br \/>\noak<br \/>\n1<br \/>\n16<br \/>\n100<br \/>\ncenter<br \/>\nalignmiddle<br \/>\n<img decoding=\"async\" src=\"http:\/\/verityhealth.com\/wp-content\/uploads\/2019\/08\/StockSnap_EHYY4TC5E9-oak-alley-1600x600.jpg\" \/><br \/>\n#<br \/>\newf-btn&#8211;huge<br \/>\n32<br \/>\n#<br \/>\newf-btn&#8211;huge<br \/>\n32<br \/>\n<!-- \/epsilon\/Slides--><br \/>\n<!-- epsilon\/Slides --><br \/>\n<b>How Are We Doing?<\/b><br \/>\n1<br \/>\n16<br \/>\n100<br \/>\ncenter<br \/>\nalignbottom<br \/>\n<img decoding=\"async\" src=\"http:\/\/verityhealth.com\/wp-content\/uploads\/2019\/09\/StockSnap_GSBJXWRSDV-Dr-xray-crop2-1600x600.jpg\" \/><br \/>\n#<br \/>\newf-btn&#8211;huge<br \/>\n<!-- \/epsilon\/Slides--><br \/>\n<!-- epsilon\/Slides --><br \/>\nFrom zero to hero along with you.<br \/>\n1<br \/>\n16<br \/>\n100<br \/>\ncenter<br \/>\nalignbottom<br \/>\n<img decoding=\"async\" src=\"http:\/\/70.169.66.243\/wp-content\/uploads\/2019\/07\/StockSnap_199PTBPOD0-mom-daughter-1600x600.jpg\" \/><br \/>\n#<br \/>\newf-btn&#8211;huge<br \/>\n32<br \/>\n#<br \/>\newf-btn&#8211;huge<br \/>\n32<br \/>\n<!-- \/epsilon\/Slides--><br \/>\n<!-- epsilon\/Slides --><br \/>\nWho We serve<br \/>\n1<br \/>\n16<br \/>\n100<br \/>\ncenter<br \/>\nalignmiddle<br \/>\n<img decoding=\"async\" src=\"http:\/\/verityhealth.com\/wp-content\/uploads\/2019\/04\/unsplash106919446.jpg\" \/><br \/>\n#<br \/>\newf-btn&#8211;huge<br \/>\n32<br \/>\n#<br \/>\newf-btn&#8211;huge<br \/>\n32<br \/>\n<!-- \/epsilon\/Slides--><br \/>\n<!-- epsilon\/Slides --><br \/>\nHealthy<br \/>\n1<br \/>\n16<br \/>\n100<br \/>\ncenter<br \/>\nalignmiddle<br \/>\n<img decoding=\"async\" src=\"http:\/\/verityhealth.com\/wp-content\/uploads\/2019\/04\/alone-basket-carrots-1389103.jpg\" \/><br \/>\n#<br \/>\newf-btn&#8211;huge<br \/>\n32<br \/>\n#<br \/>\newf-btn&#8211;huge<br \/>\n32<br \/>\n<!-- \/epsilon\/Slides--><br \/>\n<!-- epsilon\/Slides --><br \/>\nOur Members Are Family<br \/>\n1<br \/>\n16<br \/>\n100<br \/>\ncenter<br \/>\nalignmiddle<br \/>\n<img decoding=\"async\" src=\"http:\/\/verityhealth.com\/wp-content\/uploads\/2019\/07\/StockSnap_UPONI5PK8M-Member-park-heart-1600x600.jpg\" \/><br \/>\n#<br \/>\newf-btn&#8211;huge<br \/>\n32<br \/>\n#<br \/>\newf-btn&#8211;huge<br \/>\n32<br \/>\n<!-- \/epsilon\/Slides--><br \/>\n<!-- epsilon\/Slides --><br \/>\nLogo Background<br \/>\n1<br \/>\nWe believe there&#039;s no other theme like Portum.<br \/>\n16<br \/>\n100<br \/>\ncenter<br \/>\nalignmiddle<br \/>\n<img decoding=\"async\" src=\"http:\/\/verityhealth.com\/wp-content\/uploads\/2019\/07\/Verity-Logomark-FullSmall.png\" \/><br \/>\n#<br \/>\newf-btn&#8211;huge<br \/>\n32<br \/>\n#<br \/>\newf-btn&#8211;huge<br \/>\n32<br \/>\n<!-- \/epsilon\/Slides--><br \/>\n<!-- epsilon\/Slides --><br \/>\nBroker<br \/>\n1<br \/>\n16<br \/>\n100<br \/>\ncenter<br \/>\naligntop<br \/>\n<img decoding=\"async\" src=\"http:\/\/verityhealth.com\/wp-content\/uploads\/2019\/09\/StockSnap_OIYW6T2ZLT-business-man-crop-1600x600.jpg\" \/><br \/>\n#<br \/>\newf-btn&#8211;huge<br \/>\n32<br \/>\n#<br \/>\newf-btn&#8211;huge<br \/>\n32<br \/>\n<!-- \/epsilon\/Slides--><br \/>\n<!-- epsilon\/Slides --><br \/>\nVerity at a Glance<br \/>\n1<br \/>\nWe believe there&#039;s no other theme like Portum.<br \/>\n16<br \/>\n100<br \/>\ncenter<br \/>\nalignmiddle<br \/>\n#<br \/>\newf-btn&#8211;huge<br \/>\n32<br \/>\n#<br \/>\newf-btn&#8211;huge<br \/>\n32<br \/>\n<!-- \/epsilon\/Slides--><br \/>\n<!-- epsilon\/Slides --><br \/>\nHCH<br \/>\n1<br \/>\n16<br \/>\n70<br \/>\ncenter<br \/>\nalignmiddle<br \/>\n<img decoding=\"async\" src=\"http:\/\/verityhealth.com\/wp-content\/uploads\/2019\/10\/HCH-HP_GRN-1600x581.jpg\" \/><br \/>\n#<br \/>\newf-btn&#8211;huge<br \/>\n32<br \/>\n#<br \/>\newf-btn&#8211;huge<br \/>\n32<br \/>\n<!-- \/epsilon\/Slides--><br \/>\n<!-- epsilon\/Slides --><br \/>\nEmployer<br \/>\n1<br \/>\nWe believe there&#039;s no other theme like Portum.<br \/>\n16<br \/>\n100<br \/>\ncenter<br \/>\nalignmiddle<br \/>\n<img decoding=\"async\" src=\"http:\/\/verityhealth.com\/wp-content\/uploads\/2019\/04\/unsplash59441179.jpg\" \/><br \/>\n#<br \/>\newf-btn&#8211;huge<br \/>\n32<br \/>\n#<br \/>\newf-btn&#8211;huge<br \/>\n32<br \/>\n<!-- \/epsilon\/Slides--><br \/>\n<!-- epsilon\/Slides --><br \/>\nFrom zero to hero along with you.<br \/>\n1<br \/>\nWe believe there&#039;s no other theme like Portum.<br \/>\n16<br \/>\n100<br \/>\ncenter<br \/>\nalignmiddle<br \/>\n<img decoding=\"async\" src=\"http:\/\/verityhealth.com\/wp-content\/uploads\/2019\/08\/StockSnap_JP6R27HS8P-pen-and-paper-1-1600x600.jpg\" \/><br \/>\nPen and Paper<br \/>\newf-btn&#8211;huge<br \/>\n32<br \/>\n#<br \/>\newf-btn&#8211;huge<br \/>\n32<br \/>\n<!-- \/epsilon\/Slides--><br \/>\n<!-- epsilon\/Slides --><br \/>\nlilly pad<br \/>\n1<br \/>\n16<br \/>\n100<br \/>\ncenter<br \/>\nalignmiddle<br \/>\n<img decoding=\"async\" src=\"http:\/\/verityhealth.com\/wp-content\/uploads\/2019\/08\/StockSnap_PXRAJTBG9E-lillypad-1600x600.jpg\" \/><br \/>\n#<br \/>\newf-btn&#8211;huge<br \/>\n32<br \/>\n#<br \/>\newf-btn&#8211;huge<br \/>\n32<br \/>\n<!-- \/epsilon\/Slides--><br \/>\n<!-- epsilon\/Slides --><br \/>\nSteth<br \/>\n1<br \/>\n16<br \/>\n100<br \/>\ncenter<br \/>\nalignmiddle<br \/>\n<img decoding=\"async\" src=\"http:\/\/verityhealth.com\/wp-content\/uploads\/2019\/08\/StockSnap_9M1HWW2JFV-stethiscope-computer-1600x600.jpg\" \/><br 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src=\"http:\/\/verityhealth.com\/wp-content\/uploads\/2019\/08\/StockSnap_Y01VDYAX63-computer-meeting-graph-1600x600.jpg\" \/><br \/>\n#<br \/>\newf-btn&#8211;huge<br \/>\n32<br \/>\n#<br \/>\newf-btn&#8211;huge<br \/>\n32<br \/>\n<!-- \/epsilon\/Slides--><br \/>\n<!-- epsilon\/Slides --><br \/>\nmember crowd<br \/>\n1<br \/>\n16<br \/>\n100<br \/>\ncenter<br \/>\nalignmiddle<br \/>\n<img decoding=\"async\" src=\"http:\/\/verityhealth.com\/wp-content\/uploads\/2019\/09\/iStock-154962036-member-crowd-1600x600.jpg\" \/><br \/>\newf-btn&#8211;huge<br \/>\n32<br \/>\newf-btn&#8211;huge<br \/>\n32<br \/>\n<!-- \/epsilon\/Slides--><br \/>\n<!-- epsilon\/Slides --><br \/>\nHands stacked<br \/>\n1<br \/>\n16<br \/>\n100<br \/>\ncenter<br \/>\nalignmiddle<br \/>\n<img decoding=\"async\" src=\"http:\/\/verityhealth.com\/wp-content\/uploads\/2019\/09\/iStock-1127734738-hand-stack-1600x600.jpg\" \/><br \/>\newf-btn&#8211;huge<br \/>\n32<br \/>\newf-btn&#8211;huge<br \/>\n32<br \/>\n<!-- \/epsilon\/Slides--><br \/>\n<!-- epsilon\/Slides --><br \/>\nDr and child<br \/>\n1<br \/>\n16<br \/>\n100<br \/>\ncenter<br \/>\nalignmiddle<br \/>\n<img decoding=\"async\" src=\"http:\/\/verityhealth.com\/wp-content\/uploads\/2019\/09\/iStock-10492843381-dr-and-child-purchased-1600x600.jpg\" \/><br \/>\n#<br \/>\newf-btn&#8211;huge<br \/>\n32<br \/>\n#<br \/>\newf-btn&#8211;huge<br \/>\n32<br \/>\n<!-- \/epsilon\/Slides--><br \/>\n<!-- epsilon\/Slides --><br \/>\nBroker Ipad<br \/>\n1<br \/>\n16<br \/>\n100<br \/>\ncenter<br \/>\nalignmiddle<br \/>\n<img decoding=\"async\" src=\"http:\/\/verityhealth.com\/wp-content\/uploads\/2019\/09\/StockSnap_KCIU8RWM09-broker-ipad-1600x600.jpg\" \/><br \/>\n#<br \/>\newf-btn&#8211;huge<br \/>\n32<br \/>\n#<br \/>\newf-btn&#8211;huge<br \/>\n32<br \/>\n<!-- \/epsilon\/Slides--><br \/>\n<!-- epsilon\/Slides --><br \/>\nLouisiana Proud<br \/>\n1<br \/>\n16<br \/>\n100<br \/>\ncenter<br \/>\nalignmiddle<br \/>\n<img decoding=\"async\" src=\"http:\/\/verityhealth.com\/wp-content\/uploads\/2019\/09\/StockSnap_KCIU8RWM09-broker-ipad-1600x600.jpg\" \/><br \/>\n#<br \/>\newf-btn&#8211;huge<br \/>\n32<br \/>\n#<br \/>\newf-btn&#8211;huge<br \/>\n32<br \/>\n<!-- \/epsilon\/Slides--><br \/>\n<!-- epsilon\/Slides --><br \/>\nstretch<br \/>\n1<br \/>\n16<br \/>\n100<br \/>\ncenter<br \/>\nalignmiddle<br \/>\n<img decoding=\"async\" src=\"http:\/\/verityhealth.com\/wp-content\/uploads\/2019\/11\/iStock-stretching-1600x600.jpg\" \/><br \/>\n#<br \/>\newf-btn&#8211;huge<br \/>\n32<br \/>\n#<br \/>\newf-btn&#8211;huge<br \/>\n32<br \/>\n<!-- \/epsilon\/Slides--><br \/>\n<!-- epsilon\/Slides --><br \/>\ndumbell<br \/>\n1<br \/>\n16<br \/>\n100<br \/>\ncenter<br \/>\nalignmiddle<br \/>\n<img decoding=\"async\" src=\"http:\/\/verityhealth.com\/wp-content\/uploads\/2019\/10\/iStock-dumbell-1.jpg\" \/><br \/>\n#<br \/>\newf-btn&#8211;huge<br \/>\n32<br \/>\n#<br \/>\newf-btn&#8211;huge<br \/>\n32<br \/>\n<!-- \/epsilon\/Slides--><br \/>\n<!-- epsilon\/Slides --><br \/>\nDr and paper family<br \/>\n1<br \/>\n16<br \/>\n100<br \/>\ncenter<br \/>\nalignmiddle<br \/>\n<img decoding=\"async\" src=\"http:\/\/verityhealth.com\/wp-content\/uploads\/2019\/11\/iStock-Dr-with-paper-family-1600x600.jpg\" \/><br \/>\n#<br \/>\newf-btn&#8211;huge<br \/>\n32<br \/>\n#<br \/>\newf-btn&#8211;huge<br \/>\n32<br \/>\n<!-- \/epsilon\/Slides--><br \/>\n<!-- epsilon\/Slides --><br \/>\nBlood Pressure<br \/>\n1<br \/>\n16<br \/>\n100<br \/>\ncenter<br \/>\nalignmiddle<br \/>\n<img decoding=\"async\" src=\"http:\/\/verityhealth.com\/wp-content\/uploads\/2019\/11\/iStock-blood-pressure-1600x600.jpg\" \/><br \/>\n#<br \/>\newf-btn&#8211;huge<br \/>\n32<br \/>\n#<br \/>\newf-btn&#8211;huge<br \/>\n32<br \/>\n<!-- \/epsilon\/Slides--><br \/>\n<!-- \/epsilon\/advanced-slider --><\/p>\n<p><!-- epsilon\/about --><br \/>\n{&#8220;top&#8221;:&#8221;-100&#8243;,&#8221;right&#8221;:null,&#8221;bottom&#8221;:null,&#8221;left&#8221;:null,&#8221;unit&#8221;:&#8221;px&#8221;}<br \/>\n{&#8220;top&#8221;:&#8221;35&#8243;,&#8221;right&#8221;:null,&#8221;bottom&#8221;:null,&#8221;left&#8221;:null,&#8221;unit&#8221;:&#8221;px&#8221;}<br \/>\n{&#8220;top&#8221;:&#8221;-6&#8243;,&#8221;right&#8221;:null,&#8221;bottom&#8221;:null,&#8221;left&#8221;:null,&#8221;unit&#8221;:&#8221;px&#8221;}<br \/>\n<b>Provider Request Form<\/b><br \/>\nWe take pride in our network of hospitals, physicians and other medical professional who serve our members. If you would like to apply for participation in Verity HealthNet, please submit the following information accordingly.  Upon receipt of this information, a provider packet will be sent to you for review<br \/>\n<!-- \/epsilon\/about --><\/p>\n<p><!-- epsilon\/contact --><br \/>\n{&#8220;top&#8221;:null,&#8221;right&#8221;:&#8221;&#8221;,&#8221;bottom&#8221;:null,&#8221;left&#8221;:&#8221;500&#8243;,&#8221;unit&#8221;:&#8221;px&#8221;}<br \/>\n{&#8220;top&#8221;:null,&#8221;right&#8221;:null,&#8221;bottom&#8221;:null,&#8221;left&#8221;:&#8221;1&#8243;,&#8221;unit&#8221;:&#8221;px&#8221;}<br \/>\n{&#8220;top&#8221;:null,&#8221;right&#8221;:null,&#8221;bottom&#8221;:null,&#8221;left&#8221;:&#8221;25&#8243;,&#8221;unit&#8221;:&#8221;px&#8221;}<br \/>\n{&#8220;top&#8221;:&#8221;6&#8243;,&#8221;right&#8221;:null,&#8221;bottom&#8221;:null,&#8221;left&#8221;:null,&#8221;unit&#8221;:&#8221;px&#8221;}<br \/>\n<!-- \/epsilon\/contact --><\/p>\n","protected":false},"excerpt":{"rendered":"<p>oak 1 16 100 center alignmiddle # ewf-btn&#8211;huge 32 # ewf-btn&#8211;huge 32 How Are We Doing? 1 16 100 center alignbottom # ewf-btn&#8211;huge From zero to hero along with you. 1 16 100 center alignbottom # ewf-btn&#8211;huge 32 # ewf-btn&#8211;huge 32 Who We serve 1 16 100 center alignmiddle # ewf-btn&#8211;huge 32 # ewf-btn&#8211;huge 32 [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"class_list":["post-261","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"http:\/\/verityhealth.com\/index.php\/wp-json\/wp\/v2\/pages\/261","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/verityhealth.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"http:\/\/verityhealth.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"http:\/\/verityhealth.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/verityhealth.com\/index.php\/wp-json\/wp\/v2\/comments?post=261"}],"version-history":[{"count":83,"href":"http:\/\/verityhealth.com\/index.php\/wp-json\/wp\/v2\/pages\/261\/revisions"}],"predecessor-version":[{"id":3794,"href":"http:\/\/verityhealth.com\/index.php\/wp-json\/wp\/v2\/pages\/261\/revisions\/3794"}],"wp:attachment":[{"href":"http:\/\/verityhealth.com\/index.php\/wp-json\/wp\/v2\/media?parent=261"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}