Our new electronic application allows you to complete the entire registration process online, at your convenience and anywhere in the world! That means less error, less paper and less hassles. Plus the system allows you to sign everything electronically with the click of a mouse. That means no more mailing, faxing or waiting!

This is an easy, step-by-step process that helps new candidates and current providers create and manage their personal profiles. Plus, all of your information flows seamlessly into our database once your profile is updated and completed!

Our system will allow you to create a user name and password, which allows you to log in as needed, in order to update important information such as work history, references, licensure and credentials; not to mention you can update your “Skills Checklists”, “Sign your Authorization to Release” and download any necessary forms you may need!

To get started, click on “Apply Online Now” icon below and enter your basic information.

First-Time Applicants

If you are a first-time applicant:

Apply Online Now

Returning Registrants

If you are already a colleague:

Login Online Now
31040 Lahser Rd., Beverly Hills, MI 48025 Phone: 800-642-1999 • Fax: 248-646-0361 • Pager: 800-436-0746 Hours of Business: 8:30am - 5:00pm