Mask and Visitor Policies: Following CDC and state of NC guidance, masks are still required in all Atrium Health facilities. View our current visitor policy

Please follow the steps below to complete Phase I - Clinical Privileges Update of the reappointment process for Center for Orthopaedic Surgery (COS) 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.


Physician Forms:

COS Anesthesia

COS General Surgery, Breast Oncology

COS Orthopaedics


Advance Clinical Practitioner (ACP) Forms:

COS Anesthesia Assistant

COS Certified Registered Nurse Practitioner (C.R.N.A.)

COS Physician Assistant (P.A.)


Thank you for your commitment to Atrium Health!