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. Julian Moore, MD
CredentialHospital or surgery center privileges (ASH)
NumberASH-PRV-DEMO-4122
Issued byAshgrove Regional Hospital medical staff office
Valid fromMar 17, 2026
Valid throughMar 17, 2028

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