Please follow the steps below to complete Phase I - Clinical Privileges Update of the reappointment process for Atrium Health Surgery Center Shelby 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.
Advanced Clinical Practitioner (ACP) Forms:
Shelby APP Nurse Practitioner (N.P.)
Shelby APP Physician Assistant (P.A.)
Shelby APP Certified Registered Nurse Anesthetist (CRNA)
Thank you for your commitment to Atrium Health!