Medical staff and professional healthcare providers

Request a credentialing application

Thank you for your interest in Children's Wisconsin.

Before you request an application, please verify you meet our threshold eligibility criteria as defined in our governance documents. If you have questions regarding the eligibility criteria, please contact Medical Staff Services at (414) 266-2400.

Request an application - New user (Select Request Account after accessing this link)

Request an application - Existing user

Your request will be reviewed and you will receive an email invitation to complete an application. If there are questions or we need additional information, we will contact you.

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Pay new application and reappointment fees here ($150/$250 invoices)

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Pay annual medical staff dues here ($225 invoices)

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Pay Fox Valley privileging fees here ($75 invoices)

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Access the following webpages: