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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.

Please follow the steps below to complete Phase I - Clinical Privileges Update of the reappointment process.

If you wish to keep a privilege that is attached to maintenance criteria, you must provide proof of that maintenance criteria in order to maintain the privilege.

If you are requesting a privilege you currently do not have, you must meet the initial criteria for that privilege.

If you have additional questions you may email Katrina Barkley, Reappointment Supervisor.

Please note: the Atrium forms are being moved to DocuSign - please contact your coordinator for more information.


Ambulatory Surgery Center, Endoscopy Center and Scotland Forms

Scotland Health Care System - APP and Physician Forms

Atrium Health Surgery Center Shelby - APP and Physician Forms

Center for Orthopaedic Surgery (COS) - APP and Physician Forms

Atrium Health Surgery Center Indian Trail - APP and Physician Forms

Carolinas Gastro Centers - Kenilworth and Ballantyne location - APP And Physician Forms

Thank you for your commitment to Atrium Health!