Credentialing & Background Checks
Health care organizations, including free and charitable clinics, have long been held legally responsible for the providers giving care at their facility. To help free and charitable clinics in Wisconsin obtain and afford liability insurance, the Wisconsin Volunteer Liability Coverage Program was created, and then updated/revised in 2014 under Act 344.
Free and charitable clinics utilizing this program, must perform their own provider credentialing PRIOR to entering a provider in the Online Volunteer Liability Coverage Program website. There are many different ways to credential a provider volunteer. Your clinic and Board of Directors will need to decide what is the best way for you to limit your clinic's liability and comply with the rules of the Wisconsin Volunteer Liability Coverage Program. It could be as simple as verifying your volunteer providers licenses are current to more complicated and costly criminal background checks. It is important that your clinic has a formal policy on their credentialing process and that this process is consistently followed. WAFCC does encourage background checks on volunteers in addition to credentialing. We understand that there is frequently a fee associated with this service. Many clinics that perform background checks ask their volunteers for a donation to cover the cost of background checks.
Please see below for credentialing/background resources and share a sample process.
Free and charitable clinics utilizing this program, must perform their own provider credentialing PRIOR to entering a provider in the Online Volunteer Liability Coverage Program website. There are many different ways to credential a provider volunteer. Your clinic and Board of Directors will need to decide what is the best way for you to limit your clinic's liability and comply with the rules of the Wisconsin Volunteer Liability Coverage Program. It could be as simple as verifying your volunteer providers licenses are current to more complicated and costly criminal background checks. It is important that your clinic has a formal policy on their credentialing process and that this process is consistently followed. WAFCC does encourage background checks on volunteers in addition to credentialing. We understand that there is frequently a fee associated with this service. Many clinics that perform background checks ask their volunteers for a donation to cover the cost of background checks.
Please see below for credentialing/background resources and share a sample process.
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Background Checks:
Department of Justice Wisconsin Background Checks Illinois State Police Background Checks Minnesota Department of Public Safety Background Checks Michigan Sate Police Background Checks IntelliCorp (national background checks) |
Sample Volunteer & Credentialing Process
Permission for Criminal Record Check Form
for YOUR CLINIC NAME
All volunteers who are working with children and/or vulnerable populations are asked to complete this form, supplying the necessary information for a criminal background check. This is for the safety of our patients. All results will remain confidential.
First Name
Middle Name
Last Name
Address
City State/ Zip
Sex
Race/Ethnicity
Date of Birth (MM/DD/YYYY)
Social Security Number
Maiden Name
Signature
Signature Date
Yes / No - I have included a donation of $20 to offset the cost of this service.
(Check payable: YOUR CLINIC NAME)
Thank you!
for YOUR CLINIC NAME
All volunteers who are working with children and/or vulnerable populations are asked to complete this form, supplying the necessary information for a criminal background check. This is for the safety of our patients. All results will remain confidential.
First Name
Middle Name
Last Name
Address
City State/ Zip
Sex
Race/Ethnicity
Date of Birth (MM/DD/YYYY)
Social Security Number
Maiden Name
Signature
Signature Date
Yes / No - I have included a donation of $20 to offset the cost of this service.
(Check payable: YOUR CLINIC NAME)
Thank you!