Re Appointment Document Library

Reappointment

Atrium Health Moderate Sedation Protocol

• Atrium Health Adult Sedation Protocol
• Atrium Health Adult Moderate Sedation Test - Maintenance Criteria
• Atrium Health Pediatric Sedation Protocol
• Atrium Health Pediatric Moderate Sedation Test - Maintenance Criteria

Cabarrus Providers  

• Cabarrus Moderate Sedation Guidelines

Cleveland Providers

• Cleveland Moderate Sedation Attestation
• Cleveland 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