SAMPLE for the demonstration: a fictional certificate, not a real document. In real use this is the scan or PDF the coordinator attaches.

Hospital or surgery center privileges

Ridgeline Health Partners credential file

Issued toDr. Samuel Ortiz, MD
CredentialHospital or surgery center privileges (ASH)
NumberASH-PRV-DEMO-4079
Issued byAshgrove Regional Hospital medical staff office
Valid fromJun 17, 2025
Valid throughJun 17, 2027

Fictional provider and number. Close this tab to return to the Credential Tracker.