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 515-273-5359 or email cr***********@*******************er.com with any questions.
Application Forms
- Instructions - pdf
- Lakeview Release information - pdf
- Iowa Statewide Universal Practitioner Credentialing Application Application for Physician Assistant/Advanced Registered Nurse Practitioner Fillable PDF. When sending over the internet please send secure.
- Application for all other Allied Health Professionals (RN, DA, etc.) - pdf