Verifiable Form

Modified on Sat, 8 Apr, 2023 at 1:33 AM

Zaya Care uses an application called Verifiable to quickly prescreen providers. Verifiable helps to cut our onboarding times in half, allowing you to get started seeing patients on the Zaya platform much faster.


To facilitate prescreening in Verifiable, we ask you to fill out the Verifiable Form. This form requests your:

  • Full legal first name

  • Full legal last name

  • Email

  • Phone number

  • NPI

  • SSN

  • Date of Birth

  • Visit type

  • Completion of the DocuSign document which requires your signature

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