City skyline reflecting on a calm river with a dock in the foreground and mostly clear sky.

Welcome to the
His Branches Team!

New Provider Orientation

We are so glad that you are going to be a part of the mission and methods here at His Branches Community Health Center. We are a diverse group of people using our gifts and abilities to provide and foster love, service, community and dignity for our patients and neighbors. We are honored that you have chosen to join our team. If you are not a provider (M.D, N.P., P.A.) please click HERE to navigate to the requirements specific for your role.

We want to help your onboarding experience go as smoothly as possible. As a part of your new employment here, there are requirements and regulations we need to follow as part of your orientation. On your designated start date, you will report to your supervisor and will receive a folder with a checklist of requirements. You will work with our HR Team and your supervisor on completion of these requirements.

Prior to your first day, we ask that you complete the following tasks:

  • Application

  • Interview

  • References

  • Provide License or State-Issued ID

  • Signed Rate of Pay Notice/Offer Letter

  • Signed Job Description

Providers need to also complete or provide the following:

  • Malpractice

  • Credentialing

  • CAHQ#

  • Curriculum Vitae

  • Copies of License

  • DEA

  • Copy of Board Certification CME’s

  • NPI #

  • Medicare/Medicaid #

  • Report Malpractice Incidents (if any)

Helpful resources

We’ve compiled links to some helpful resources to get you started in your career with us:

New Provider Checklist
Our Mission and Values

Please refer to the New Provider Checklist to ensure completion of all tasks and forms.

Here are some helpful links to aid with your process. Please contact Susan skerr@hisbranches.org if you need help with your onboarding process at any point.

Medical Requirements

You will also need to complete and provide proof of the following:

  • PPD/Hep B

  • COVID Vaccine

  • Flu Vaccine

  • MMR

Financial Forms:

W-4 Form
IT-2104 Form
I-9 Form

  • Provide Identity Verification (Copy of Valid Drivers License or Passport)

  • Voided check for routing/account info (if required)

Insurance Forms:

MVP Enrollment (Health Insurance)
Excellus Enrollment (Dental Insurance)
Declination of Insurance (Form)

Trainings and Attestations:

Sexual Harassment Prevention Training Video Part 1
Sexual Harassment Training Attestation
Clinical Handbook
Clinical Handbook Attestation
Employee Handbook
Employee Handbook Attestation
Bloodborne Pathogens Training Video
Bloodborne Pathogens Attestation

You may also be required to provide proof of:

CPR Certification

Please check with your Supervisor to make sure all requirements are met.

HIPAA Training
HIPPA Attestation
Trust vs. Suspicion Video Part 1
Trust vs. Suspicion Attestation
Conflict of Interest Form
Receipt and Return of Company Property Form
Pre-Employment Physical Form
Direct Deposit Form
Trust vs. Suspicion Video Part 2
Acknowledgement of Electronic Monitoring
TB Training Attestation
Sexual Harassment Prevention Training Video Part 2
TB Training

Please download and install the Team Alert app to your phone/laptop. Contact your Supervisor to receive a set up link and log in to complete set up.

Team Alert Login
Workplace Safety Attestation
Child Abuse and Domestic Violence Attestation

Additional Forms:

Time Off Request Form
Confidential Workplace Incident Form