search for
DOCTOR PROCEDURE PAY BILL LOCATION CONTACT

Provider Resources

Physician Verification

Instructions for verification of medical staff or Allied Health Professional staff appointment.

Please use this link in order to obtain completion of verification in a timely manner:

https://www.mdquery.com/app/Default.aspx?ID=89833490-8851-4F09-A0E8-052E4AC6E636

Directions:
1. Click on Link
2. Enter your name
3. Enter your facility name
4. Enter your email address
5. Type “cmh” as Login
6. Type “query” as password
7. Type in words/symbols in box (as they appear- CAPS etc.) and hit Login
8. Next screen type in providers last name
9. Providers first name
10. Last 4 of SS
11. Click Search
12. Click on Name to obtain letter
13. Click "Print" on your toolbar

If you cannot find the provider requested, please fax your request and a signed consent for release to our office. (See fax number below)

Medical Staff Services
Clinton Memorial Hospital
610 W. Main St.
P.O. Box 600
Wilmington, OH 45177
937.283.9774 (fax)

Contact Us

Clinton Memorial Hospital
610 W. Main St.
Wilmington, Ohio 45177
937.382.6611