If you would like to apply for clinical activities you may download our application forms from the links below.
If you would like to apply for staff privileges you may download our application forms from the links below. Please contact our credentialing coordinator at 515-802-1824 with any questions.
- Instructions - pdf
- Lakeview Release information - pdf
- Application for Physician Assistant-Iowa Statewide Universal
Practitioner Credentialing Application - pdf Please note that when sending this over the internet, it must be sent from a secure site.
- Application for all other Allied Health Professionals (RN, DA, etc.) - pdf
Clinical Activities Forms
- Dental Assistant - pdf
- Physician's Assistant - pdf
- Surgical Nursing - pdf
- Surgical Scrub Technician - pdf