Online Credentialing Application

Thank you for applying to UCLA Health!

Below are some helpful tips prior to beginning your online credentialing application experience.

Please note the following tips are intended for providers who are already in the credentialing process and have received an application to complete. 

Individual Applicants

If you are an external candidate requesting an application, please e-mail [email protected] and include the following information:

• Your Full Name
• Name of hospital you are interested in applying to
• Your Specialty

Once received, the Medical Staff Office will reach out to assist with this request. 

Group Applicants

To become a UCLA Medical Group in -network provider, please send your request to the Provider Relations team at  [email protected] and include the following information:

• Group Name/ Provider Names
• Specialty
• Contact Information

Helpful Tips

Setting/Resetting Your Password

• If you have never logged onto the online application: you will be prompted to set your password. You can also reset your password at any time on the application homepage using the “Forgot Password” at the bottom right corner.

Compatible Browsers

• The online application is compatible with ALL internet browsers (Internet Explorer, Google Chrome, Safari, etc.).
• In the unlikely event you experience an issue with browser compatibility, please “Allow Pop-Up Blockers” in your browser settings or try using a different browser. 

Accessing the Online Application

• Visit the UCLA Online Application Homepage
• The online application may be accessed anywhere with an internet connection via desktop, laptop, tablet, or mobile.
• Because the application saves in real time, you may start your application, and then log back in at a later time to finish.