Request Application

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Application Process

Follow these simple steps

1
Submit Request

Complete the form below to begin your TIOPA membership application process.

2
Receive Credentials

Our credentialing team will email you secure login credentials within 3 business days.

3
Complete Application

Use your credentials to access and submit your full application within the required timeframe.

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Response Time: Within 3 business days

If you don’t receive your application access within three (3) business days, please contact credentialing@tiopa.org.

Application process illustration
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Payment Required

Choose your application fee

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Important Notice

You may submit your application request before payment, however it will not be reviewed until payment is received.

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Physician Fee

For MD, DO, DPM, OD, DC

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Allied Health Fee

For PA, DPT/PT, OT, LPC, LSW, MFT, PhD, RD, SLP

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APRN/CRNA Fee

For APRN/CRNA professionals

Approval Required
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Expedited Processing

For expedited board meeting placement

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Application Request Form

Complete all required fields accurately

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