Re Appointment Document Library
Re-Appointment
Atrium Health Moderate Sedation Protocol
- Atrium Health Adult Sedation Protocol
- Atrium Health Adult Moderate Sedation Test
- Atrium Health Pediatric Sedation Protocol
- Atrium Health Pediatric Moderate Sedation Test
- Atrium Health Stanly Moderate Sedation Test
NorthEast Providers
Cleveland and Kings Mountain Providers
- Cleveland and Kings Mountain Moderate Sedation Attestation
- Cleveland and Kings Mountain Sedation Policy
MEDICAL Exemption for Influenza Vaccination
If you need to request Medical Exemption from the Influenza Vaccination please complete this form and email/fax to Medical Staff Services.
RELIGIOUS Exemption for Influenza Vaccination
If you need to request Religious Exemption from the Influenza Vaccination please complete this form and email/fax to Medical Staff Services.
Additional Resources
- Credentialing Checklist for Providers
- Private Provider Information Form
- Classification/Clinical Privileges Request Form (Physician/Dentist)
- Delineation of Privileges Request Form
- Clinical Practice Update Request Form (Allied Health)
- Physician/Allied Health Professional Demographic Change Form
- Physician Health Policy
- Proctoring Policy and Form (Physician/Dentist)
- AHP - Proctoring Policy and Form