Skip Navigation

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

1) PRINT and COMPLETE - the Delineation of Privileges (DOP) that reflects your specialty/current practice

2) NOTE - if you are requesting a privilege you currently do not have, you must meet the initial criteria for that privilege.

3) RETURN the form(s) to the coordinator assigned to you

 If you have additional questions you may contact Staci Hightower, Supervisor here.

 

Gastroenterology Delineation of Privileges form - Physician form

Certified Registered Nurse Anesthetist Delineation of Privileges form - APP form

 

 *These forms are for both Carolinas Gastro Centers - Ballantyne and Atrium Health Endoscopy Center Kenilworth

 

Thank you for your commitment to Atrium Health!

Close