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. Hannah Weiss, DO
CredentialHospital or surgery center privileges (ASH)
NumberASH-PRV-DEMO-4091
Issued byAshgrove Regional Hospital medical staff office
Valid fromMar 19, 2026
Valid throughMar 19, 2028

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