Physician Quarterly Report Portal

Quarterly Reports are to be completed by physicians who have graduated from their residency program and are serving their service commitment with an approved practice site. Please remember that service commitments must start within 90 days of graduating from your residency program. 

How to Submit Physician Quarterly Report

There are now 2 ways to submit your quarterly report to TCWD:

   1. Online Submission: Please click here to access the online quarterly report. An automatic email will be sent to your practice site contact for confirmation of employment (administrator/manager will not need to sign form). 

   2. Download Form: Please download this form and submit via email to TCWD@tha.com. Please note site administrator/manager signature is required on the downloaded form. Completed forms may be submitted via email TCWD@THA.com, faxed to 615.242.4803, or mailed to the address below:

   Tennessee Center for Health Workforce Development
   5201 Virginia Way
   Brentwood, TN 37027