Verification Lookup Portal
Providers for UC Davis Medical Center Global
UC Davis Medical Center
Provider Last Name
Last name is required.
Provider First Name
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Provider Birthdate
Birthdate is required.
Required Information
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Requester Name
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Requester Title
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Requester Organization
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Requester Phone
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Requester Email
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I agree and acknowledge that I possess a signed release and immunity statement signed by the practitioner for which I am obtaining hospital verification information. Such signed release and immunity holds harmless and indemnifies University of California, Davis Health and individuals providing information pursuant to this request, its medical staff, board of directors and each of their respective members and designees, the administration of such University of California, Davis Health and its directors, officers, employees, representatives and agents, and each of them from any and all claims, demands or actions with respect to all acts, including without limitation, communications, reports, recommendations, or disclosures performed or made in connection with the request for the release of information pertaining to the practitioner's hospital affiliation with University of California, Davis Health.
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Facility
Provider Last Name
Provider Birthdate