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Credentialing and Privileging
Appeal and Hearing Process
Sample written policy for clinician appeals and hearings related to privileging and appointment.
Files
- 74 Appealandhearingprocess.pdf( 1,912.99 Kb )
Application for Clinical Privileges Allied Health Professional Specialty: Family Nurse Practitioner (FNP)
Application for Clinical Privileges Allied Health Professional Specialty: Family Nurse Practitioner (FNP)
Files
- Ahp - Family Nurse Practitioner.pdf( 755.70 Kb )
Application for Clinical Privileges Physician Specialty: Dentistry
Application for Clinical Privileges Physician Specialty: Dentistry
Files
- Physician - Dentistry.pdf( 627.19 Kb )
Application for Clinical Privileges Physician Specialty: Family Medicine
Application for Clinical Privileges
Physician
Specialty: Family Medicine
Files
- Physician - Family Medicine.pdf( 714.46 Kb )
Appointment Process Flow Chart
This document outlines the process a health center goes through to appoint a new clinician to staff.
Files
- 42 Clinical Hiring Flow Chart.pdf( 2,029.31 Kb )
Appointment, Credentialing, & Privileging Guidelines
Comprehensive Health Center guidelines for privileging, credentialing and appointments.
Files
- 41 Appoint Creden Guidelines.doc( 954.29 Kb )
Appointment, Credentialing, & Privileging Guidelines
Comprehensive Health Center guidelines for privileging, credentialing and appointments.
Files
- Appoint Creden Guidelines.doc( 954.29 Kb )
Clinical Assistant Privileging Request Form for General Care
Clinical Assistant privileging request form related to nursing abilities, patient well-being, and IVs.
Files
- 354 Clinical Assistant Privleging Reques Form.doc( 583.68 Kb )
Clinical Assistant Privileging Request Form for Lab Procedures
Clinical Assistant privileging request form for lab procedures related to In-House Lab Tests and Microscope Use.
Files
Clinical Subcontractor Report Form
This form should be filled out annually by any clinical subcontractors. It outlines licensing, appointment certification and credentialing for any clinical staff that provides services under the subcontract.
Files
- 49 Medical Clinical Staff Report Form.pdf( 1,245.21 Kb )
