Pennsylvania Association of

Community Health Centers

Supporting Pennsylvania's health centers in increasing access to quality primary health care for all

PACHC has facilitated a partnership and process with the Department of State to expedite provider licenses for individuals working in a Community Health Center FQHC Desig Trebuchet 10 4c-resize45x21 or Rural Health Clinic (RHC). As part of this agreement, the Department of State requires all requests go through PACHC to ensure that submissions are complete. Click the “BEGIN” link on the left side of this page to complete and submit a request.    

 

 

 

INSTRUCTIONS:

Make sure you are logged in to pachc.org
Click the BEGIN button 
Click the + Add New link in the upper left corner
Complete the form. Note: all questions require an answer for submission.
Click the SAVE button when you have completed the form.
Your submission is now located in your submissions list for review and final edits.
When you are ready to submit to PACHC, click the blue submit check icon.

 

 

 

 

 

 

Welcome to the


Expedited Provider Licenses





Please select from the menu choices on the left.