Form users should ensure all policy elements comply with the specific spectrum of requirements to which their organization is bound (e.g., all relevant federal, state, accreditation, and certification requirements). 

Reviewed by CRC's ...

This tool facilitates a complete application submission. It serves as a quick and complete reference regarding membership and privileging requirements/criteria, saving practitioners and MSPs the headache of resolving incomplete and/or unqualified applications.

Reviewed by CRC's ...

Many APPs—especially those who are employed by hospitals—practice across specialty lines. This form spans multiple areas of practice and the potential privileges associated with each. The state-specific information and privileges listed in each category can easily be modified by state/medical...

If a practitioner loses privileges or membership because the hospital offers an exclusive contract to another practitioner or specialty group, most institutions will not offer a fair hearing, and the action is not reported to the NPDB. Most hospitals have one or more exclusive contracts with ...

Facilities seeking competency data may need to amend their policies or medical staff bylaws. These samples can be customized for most facilities, but consult with counsel first.

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