Professional reference form

---
title: Professional reference form
description: Access and validate the Professional reference details of a healthcare professional in the Professional reference form.
locale: en-US
canonical_url: https://www.servicenow.com/docs/r/australia/employee-service-management/hr-service-delivery-for-healthcare/hr-professional-ref.html
release: australia
product: HR Service Delivery for Healthcare
classification: hr-service-delivery-for-healthcare
topic_type: reference
last_updated: "2026-09-10"
reading_time_minutes: 2
breadcrumb: [HR Service Delivery for Healthcare reference, HR Service Delivery for Healthcare, HR Service Delivery, Employee Service Management]
---

# Professional reference form

Access and validate the Professional reference details of a healthcare professional in the Professional reference form.

<table id="table_l3d_s5j_jbc"><thead><tr><th>

Field

</th><th>

Description

</th></tr></thead><tbody><tr><td>

Professional profile

</td><td>

Professional profile of the healthcare professional.

</td></tr><tr><td>

First name

</td><td>

First name of the user who is added as professional reference.

</td></tr><tr><td>

Last name

</td><td>

Last name of the user who is added as professional reference.

</td></tr><tr><td>

Reference type

</td><td>

Reference type of the user: Credentialing or Professional.

</td></tr><tr><td>

Contact preference

</td><td>

Preferred mode of communication for the user who is added as professional reference.

</td></tr><tr><td>

Email

</td><td>

Email address of the user who is added as professional reference.

</td></tr><tr><td>

Phone number

</td><td>

Phone number of the user who is added as professional reference.

</td></tr><tr><td>

Fax

</td><td>

Fax number of the user who is added as professional reference.

</td></tr><tr><td>

Active

</td><td>

Option to make the professional reference record available to use.

</td></tr><tr><td>

Status

</td><td>

Status of the professional reference 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.

</td></tr><tr><td>

Provider type

</td><td>

Degree awarded to the user.

</td></tr><tr><td>

Other provider type

</td><td>

Other type of degree awarded to the user.

</td></tr><tr><td>

Address

</td><td>

Address of the user.

</td></tr><tr><td>

City

</td><td>

City in which user resides.

</td></tr><tr><td>

State/Province

</td><td>

State in which user resides.

</td></tr><tr><td>

Zip/Postal Code

</td><td>

Postal code of user address

</td></tr><tr><td>

Country

</td><td>

Country in which user resides.

</td></tr></tbody>
</table>**Parent Topic:**[HR Service Delivery for Healthcare reference](https://raw.githubusercontent.com/ServiceNow/ServiceNowDocs/australia/markdown/australia/employee-service-management/hr-service-delivery-for-healthcare/reference-hr-healthcare.md)

**Related topics**  


[Installed with HR Service Delivery for Healthcare]()

[Healthcare professional profile form]()

[Professional ID form]()

[Professional liability Insurances form]()

[Professional speciality form]()

[Malpractice history form]()

[Education and Training form]()

[Practice location form]()

[Employment history form]()

[Languages Spoken form]()

[Hospital Affiliations form]()

[Payers Enrollment form]()

[Healthcare Employee Onboarding form]()