Join Our Network
Help Us Help Our Communities
We are excited about your potential affiliation with Twins Family Foundations!
As part of our credentialing process, we may contact the state licensing board, your insurance carrier, your references and any hospitals where you have staff privileges. It will save time if you make certain all questions on the application are answered completely and all necessary supporting documents are included.
Criteria
Click the form below to learn more about the criteria for professional affiliation with Twins Family Foundation Inc.
Provider Application
Click the form below to download and learn more abut our Treatment Provider Application Checklist
Tax Documentation
Click the form below to download the Request for Taxpayer Identification Number and Certification form
How it works
For the Terms of Affiliation for your licensure or if you have other questions, please contact us by telephone at 904-755-6018 or by completing the web contact form below.