Carelink

You may add your clinic by filling out the below information and choosing continue.
* Please enter a Name.
 
* Please select a Address.
 
* Please select a City.
 
* Please select a state.
 
* Please enter a Zip Code.
 
*
Please enter a Phone Number.
 
*
Please enter a Fax Number.
 
*
Please enter a Contact Phone Number.
 
 
 
Clinic Selected
{{clinic.clinicName}}
{{clinic.address1}}
{{clinic.city}} {{clinic.zipCode}}
 

Add Staff or Physicians to submit for Carelink Registration
 
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Please enter the First Name.
 
 
Please enter the Last Name.
 
Please enter the Email Address.
 

Submit Personnel to Initiate Approval Process or Add Additional Staff
{{$index + 1}}. {{item.firstName}} {{item.middleName}} {{item.lastName}} {{item.providerNPI}}
{{item.emailAddress}}
 
 
{{approvalResponse.message}}
 
Please email CareLink@NationwideChildrens.org with questions or if you need help.