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Please use this form to create a New Provider

To edit an existing provider use this form.
For other web pages or issues, select from below:

 

 

Domain Settings:

Your Contact Information:

Provider's Information:

Supply Support Files:

If uploading multiple items, place all items in one folder labeling it the name of the provider. If only uploading one item, please name the file with the provider's name. Please upload your high-resolution profile image, video biography and any support files one of three ways:

  • Our Shared Network Folder (preferred method)
    (\\mcsrv03\Shares\Marketing\Shared Marketing Campaigns\Website Updates\Providers)
  • Box 
    (If you have a MemorialCare box account)
  • HighTail 
    (Be sure to zip compress the file using the name of the provider)
Which method do you used to upload your support files.
If the provider's video biography is already uploaded to YouTube, please provide the share URL, do not supply the embed code.

Attributes

Gender:
Known Languages:
Provider Attributes:
Select this option to enable MyChart-related fields. To book an appointment online, the MemorialCare Medical Group option should be checked in the Hospital and Medical Groups field on the Taxonomy tab.
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Hospitals and Medical Groups:
Medical Groups:
Network - ACO:
Network - GNP
Audience (MCWH):
i.e. MD, DO, FNP, FNP-BC, PA-C, FACOG, etc.

Provider Services

Provider Specialty:
New taxonomy term must be vetted by Medical Staff Office.
May choose multiple specialities, minimum of one.
Service Lines (MC):
If multiple programs place a comma/space between programs.
List conditions that the provider treats, place a comma/space between conditions. The condition must be on the website in order to link to the provider. If you need a new condition please add a new Service Content - Condition to the website.
List diagnostics that the provider performs with a comma/space between diagnostics. The diagnostic must be on the website in order to link to the provider. If you need a new diagnostic please add a new Service Content - Diagnostic to the website.
List treatments that the provider treats, place a comma/space between treatments. The treatment must be on the website in order to link to the provider. If you need a new treatment please add a new Service Content - Treatment to the website.
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Education

Award Support Files:

If uploading multiple items place all items in one folder labeling it the name of the provider (add "awards" to name). If only uploading one item, please name the file with the provider's name+award. Please upload your word file describing the award, high-resolution award image (vector style eps preferred) one of three ways:

  • Our Shared Network Folder
    (\\mcsrv03\Shares\Marketing\Shared Marketing Campaigns\Website Updates\Providers)
  • Box 
    (If you have a MemorialCare box account)
  • HighTail 
    (Be sure to zip compress the file using the name of the provider)
Choose which way you supplied the award files:
Insurances:

Fun Facts

Office Locations #1:
Office Location #2:
Office Location #3:
MCWH Locations:

Content References:
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Search Settings:
Comes up first in provider search results
Comes up second in provider search results
ie. PA, PA-C, NP, ARNP
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