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Medical Staff: Credentialing and Privileging

  • About
  • About
Scope of Services
New Applicants
Reappointments and Privileging
Practitioner Home Page (PHP)
Privileging References
New Physician Education Requirements
  • Annual Education Requirements Confirmation
Annual Physician Education
  • Annual Physician Education Confirmation
Scope of Services
New Applicants
Reappointments and Privileging
Practitioner Home Page (PHP)
Privileging References
New Physician Education Requirements
  • Annual Education Requirements Confirmation
Annual Physician Education
  • Annual Physician Education Confirmation

Medical Staff Privilege Forms - SHC

1

Department

1

Privilege Forms

1

Anesthesia

1
  • Core Privileges (PDF)
  • Pain Management (PDF)
  • Acupuncture (PDF)
1

Cardiothoracic Surgery

1
  • Cardiac Privileges (PDF)
  • Thoracic Privileges (PDF)
1

Dermatology

1
  • Core Privileges (PDF)
1

Medicine

1
  • Cardiovascular Medicine (PDF)
  • Critical Care (PDF)
  • Endocrinology (PDF)
  • Family Practice (PDF)
  • Gastroenterology (PDF)
  • Hematology (PDF)
  • Allergy Immunology & Rheumatology (PDF)
  • Infectious Disease (PDF)
  • Infectious Disease HIV/AID Attestation (PDF)
  • Internal Medicine (PDF)
  • Nephrology (PDF)
  • Occupational & Environmental Medicine (PDF)
  • Oncology (PDF)
  • Pulmonary Medicine (PDF)
1

Neurology

1
  • Core Privileges (PDF)
1

Neurosurgery

1
  • Core Privileges (PDF)
1

Obstetrics and Gynecology

1
  • Core Privileges (PDF)
1

Ophthalmology

1
  • Core Privileges (PDF)
1

Orthopaedic Surgery

1
  • Core Privileges (PDF)
  • Hand Surgery (PDF)
  • Physical Medicine & Rehab (PDF)
  • Podiatry (PDF)
1

Otolaryngology

1
  • Core Privileges (PDF)
  • Dentistry (PDF)
1

Pathology

1
  • Core Privileges (PDF)
1

Pediatrics

1
  • Core Privileges (PDF)
  • Pediatric Services for Emergency Medicine (PDF)
1

Psychiatry

1
  • Core Privileges (PDF)
1

Radiation Oncology

1
  • Core Privileges (PDF)
1

Radiology

1
  • Core Privileges (PDF)
  • Nuclear Medicine (PDF)
1

Surgery

1
  • Emergency Medicine (PDF)
  • General Surgery (PDF)
  • Pediatric Surgery (PDF)
  • Plastic Surgery (PDF)
  • Trauma (PDF)
  • Vascular Surgery (PDF)
1

Urology

1
  • Core Privileges (PDF)
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