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Visitor Guideline Update: Due to respiratory virus season, children 12 and under are not permitted to visit patients in multiple settings. Additionally, everyone is required to mask in patient rooms and other designated areas. Learn more.
To request a change in classification or to request clinical privileges at any or all of the Atrium Health facilities please complete and submit this form. Please note that you must have current membership at one of the Atrium Health facilities listed.

Please Select Desired Clinical Privilege Location and/or Classification Change. Changes to the Affiliate and or Telemedicine Classification may require an update to your delineation of privileges form.

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