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For Physicians  ›  Medical Staff

Update Your Physician Profile

If you are an employed or on-staff provider at NCH, you may use this form to update the information on your nch.org website profile. Once our Medical Staff Office reviews and approves your request, the changes will appear on your profile.

"*" indicates required fields

Name*
List as many as you'd like.
Do You Need a New Headshot Taken?
Accepted file types: jpg, png, Max. file size: 32 MB.
Headshot files must be at least 600x600 pixels in size, and in .jpg or .png format.

Note: Your main specialty, office locations, affiliations, education and insurances accepted will be populated to your profile automatically through our credentialing software.

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