Please follow the steps below to complete Phase I 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, Reappointment 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!

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