Presbyterian Health Plan Letter of Interest Presbyterian Delivery System Hospital Credentials Verification Organization (CVO) Hospital Privilege ApplicationCurrently selectedPay Hospital Application Fee OnlineAppCentral TrainingHospital Affiliation Letter RequestHospital Bylaws, Rules & RegulationsCVO Performance - Turnaround TimesHelpful Resources Sidebar Content Chaplaincy ServicesWe provide ministry and emotional support for patients and their families and support for healthcare workers in times of crisis. Let us help.Learn More.Presbyterian Health Plan News & UpdatesFind out about the newest staff and the latest technology, and all the other happenings at Presbyterian.Learn More. Home | Providers | Our Networks | Presbyterian Delivery System | Hospital Credentials Verification Organization (CVO) | Hospital Privilege Application | Correction to Submitted Application Correction to Submitted Application Page Content Please complete the form below. * = indicates required fields First Name* Middle Initial/Name Last Name* Degree/Title* Date of Birth* mm 1 2 3 4 5 6 7 8 9 10 11 12 dd 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 yyyy Preferred Contact Information for Applicant Email Address* Phone#* Fax# Select Presbyterian Facility* Presbyterian Hospital/Kaseman/Rust Medical Center (Albuquerque/Rio Rancho) Plains Regional Medical Center (Clovis) Dan C. Trigg Memorial Hospital (Tucumcari) Española Hospital (Española) Lincoln County Medical Center (Ruidoso) Socorro General Hospital (Socorro) Information to be Corrected Work History Education Licensure/Certificates Insurance Malpractice/Claims/Criminal History Professional Practice Questions (PPQs) The control cannot be rendered without valid Public and Private keys.