Credentialing & Privileging

Free Form Friday:Sample authorize, release, and absolute waiver for references language

Credentialing Resource Center Insider, December 2, 2010

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Individuals and institutions providing references may be afraid of providing honest feedback for fear of retaliation. A tool for addressing such situations is a special release form signed by the applicant. Such a release includes tighter language than the typical release that commits the applicant not to sue the reference contact, such as the following sample language.

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