Renewal Process

Non-employees that have been with CHI Health for over a year are required to update their information with the renewal information below.

Step 1
Independent Provider Renewal Form

Step 2
General Orientation

Step 3

Fax or email all to 402-717-1995 or
Packets must be sent assembled and sent in fax or email together.

Questions or Concerns?
Phone: 844-717-6947
Fax: 402-717-1995

Who would this include?

This would include any non-employee whose tax ID number is their own social security number. Typically the individual represents themselves and is not represented as employed by another organization. (self-employed)

The Process

Physician career opportunities

Please print, complete, and sign each of the following required documents in the packet below. 

APC career opportunities

All Non-Employees are required to view the General Orientation.

APC career opportunities

Mandatory Reporter

Please read carefully

This step is only for Iowa and Nebraska clinical health and behavioral health providers. You may skip this step if you are working in clinical health in Nebraska.

After completing the Mandatory Reporter Chapters, please take the online test.When finished, please include a copy of the completed PASSED test with your packet.

APC career opportunities

Email or Fax all completed paperwork from the above steps to or 402-717-1995.

All documents must be assembled into one fax and sent to the CHI Health Human Resources department. Incomplete applications are not accepted and you will need to re-submit all of your requirements to Human Resources.