Physician Credentialing and Medical Staff Documentation

At WellSpan Health, we are committed to providing excellent, affordable care to build a healthier and stronger community. The Provider Resources team is dedicated in assisting the organization with achieving excellence and helping you successfully complete the credentialing process.

Credentialing Forms

Provider Credentialing Request

Provider Information Change

Provider Termination Form

Group Information: New/Change/Termination

Provider Affiliation Letters

WellSpan Heath Affiliation Letters
(Adams, Cumberland, Franklin, Lancaster, Lebanon, York based entities)

Chambersburg and Waynesboro Hospital Online Payment

Pay Medical Staff Dues Online

Pay Application Fee Online

Medical Staff Documentation

Apple Hill Surgical Center
WellSpan Chambersburg Hospital & WellSpan Waynesboro Hospital
WellSpan Ephrata Community Hospital
WellSpan Good Samaritan Hospital
WellSpan Gettysburg Hospital
WellSpan Philhaven
WellSpan Surgery & Rehabilitation Hospital
WellSpan York Hospital

Phone: 717 356-4990
Fax: 717 553-1504
Email: wellspanmedicalstaffservices@wellspan.org