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 Cleveland Ambulatory Services (CAS) 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

CAS Anesthesia

CAS Colorectal

CAS Dermatology

CAS Endoscopy

CAS General Surgery

CAS Gynecology

CAS Hand Surgery

CAS Neurosurgery

CAS Ophthalmology

CAS Oral Surgery

CAS Orthopaedics

CAS Otorhinolaryngology

CAS Pain Management

CAS Plastic Surgery

CAS Podiatry

CAS Urology


Advanced Clinical Practitioner (ACP) Forms:

CAS Allied Health Nurse Practitioner (N.P.)

CAS Allied Health Physician Assistant (P.A.)

CAS Certified Registered Nurse Anesthetist (CRNA)


Thank you for your commitment to Atrium Health!