--- sourceDocument: Brazil Employee Service Management sourceDocumentLink: https://www.servicenow.com/docs/r/employee-service-management Release : - brazil ft:locale : - en-US ft:publication_title : - Brazil Employee Service Management ft:clusterId : - emplsm bundleId : - emplsm workflow : - Employee --- # Practice location form # Practice location form {#ariaid-title1} Release version: Brazil Updated September 10, 2026 ![](https://www.servicenow.com/docs/portal-asset/ico-clock) 1 minute to read Access, update, and validate the practice location details of a healthcare professional in the Practice location form. {#hr-prac-loc__table_l3d_s5j_jbc__entry__2} | Field | Description | |-|-| | Professional profile | Professional profile of the healthcare professional. | | Practice name (in Directory) | Practice name of the healthcare professional. | | Corporation name (in W-9 form) | Name of the corporation in (W-9 format) to verify name, address, and tax ID. | | Primary tax ID type | Type of tax ID: Primary or Individual. | | Individual tax ID | Individual Tax ID number against which taxes are collected from the healthcare professional. | | Group tax ID | Group tax ID (Employer Tax ID) against which taxes are collected. | | Credentialing reference | Option to add a professional reference. | | Office schedule | Working schedules of the health care professional, for example, 24 X 7. | | Accept new patients | Option to indicate that the healthcare professional can accept new patients. | | Accept new medicaid patients | Option to indicate that the healthcare professional can accept new medicaid patients. | | Accept new medicare patients | Option to indicate that the healthcare professional can accept new medicare patients. | | Active | Option to indicate that the practice location record is available to use. | | Is current location | Option to indicate that this is the current practice location of the health care professional. | | Is billing electronic | Option to indicate that electronic billing is generated at the affiliated hospital for the services rendered by healthcare professional. | | Send correspondence here | Option to indicate that any correspondence (examples: letters) to the healthcare professional can be sent to the affiliated hospital. | | Status | Status of the practice location record: * New: When profile intake form is sent to the healthcare professional for filling. * Pending validation: When data is filled in by healthcare professional and sent for credentialing and validation to HR agents. * Invalid: When HR agents review the data and reject due to insufficient or invalid details. * Valid: When HR agents validate and approve the information provided by the healthcare professional. {#hr-prac-loc__ul_cnc_gxx_pbc} | | Address | Address of practice location. | | City | City in which practice location is situated. | | State/province | State in which practice location is situated. | | Zip/postal code | Postal code of area in which the practice location is situated. | | Country | Country in which the practice location is situated. | [Table 1. Practice Location form] {#hr-prac-loc__table_l3d_s5j_jbc} **Related reference** * [Installed with HR Service Delivery for Healthcare](https://www.servicenow.com/docs/w22iR_uWCp2qfMYvoiyvpw "Several types of components are installed with activation of the HR Service Delivery for Healthcare plugin, including tables and user roles.") * [Healthcare professional profile form](https://www.servicenow.com/docs/lCTd6653mHQLFznlcGSqyw "Access and update confidential HR data for a healthcare professional. This includes name, personal contact information, email addresses, professional liability insurance details, and medical degree.") * [Professional ID form](https://www.servicenow.com/docs/PumIEPUlQesuFvCzO1OgLw "Access, update, and validate the Professional ID details of a healthcare professional in the Professional ID form.") * [Professional liability Insurances form](https://www.servicenow.com/docs/4FYWYX01uof2UmSUaEgoaQ "Access, update, and validate the Professional liability Insurance details of a healthcare professional in the Professional liability form.") * [Professional reference form](https://www.servicenow.com/docs/N2G~vMxrwvhFfpTel5CMhQ "Access and validate the Professional reference details of a healthcare professional in the Professional reference form.") * [Professional speciality form](https://www.servicenow.com/docs/usIsbkE4uLdNdyTFhSoxVg "Review and update the Professional speciality details of a healthcare professional in the Professional speciality form.") * [Malpractice history form](https://www.servicenow.com/docs/jSirHfpIF79PNrDPiJs7Dg "Access, update, and validate the Malpractice history details of a healthcare professional in the Malpractice history form.") * [Education and Training form](https://www.servicenow.com/docs/o5DozhlibaqkW7C2gEx5NQ "Access, update and validate the Education and training details of a healthcare professional in the Education and training form.") * [Employment history form](https://www.servicenow.com/docs/hq_4MK~4AizKwd8eOUrFoA "Access, update, and validate the Employment history details of a healthcare professional in the Employment history form.") * [Languages Spoken form](https://www.servicenow.com/docs/iANMZm5evBrm4xNAqqThug "Access, update, and validate the language details of a healthcare professional in the Languages form.") * [Hospital Affiliations form](https://www.servicenow.com/docs/AkH5g8_0QOdgIDb1sDeZzA "Access, review and validate the Hospital Affiliation details of a healthcare professional in the Hospital Affiliations form.") * [Payers Enrollment form](https://www.servicenow.com/docs/sN4mSD~_0hyuEhUCF0M6xA "Access, review and validate the Payers Enrollment details of a healthcare professional in the Payer enrollment form.") * [Healthcare Employee Onboarding form](https://www.servicenow.com/docs/fdwmtlNZLLVSjoc4GNc1rg "A hiring agent or a manager places an onboarding request for a healthcare professional via the Healthcare Employee onboarding form in Employee Center.")