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  1. > Atrium Health Clinical Privilege/Membership Reappointment

Carolinas Gastro Centers Forms

Please follow the steps below to complete Phase I - Clinical Privileges Update of the reappointment process for Atrium Health Endoscopy Center Ballantyne and Atrium Health Endoscopy Center Kenilworth privileges.

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 Staci Hightower, Supervisor.

Gastroenterology Delineation of Privileges form - Physician form

Certified Registered Nurse Anesthetist Delineation of Privileges form - APP form

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