Please follow the steps below to complete Phase I - Clinical Privileges Update of the reappointment process for Atrium Health Surgery Center Indian Trail.
1) PRINT and COMPLETE - the Delineation of Privileges (DOP) that reflects your specialty/current practice
2) NOTE - if you wish to keep a privilege that is attached to maintenance criteria, you must provide proof of that maintenance criteria in order to maintain the privilege
3) NOTE - if you are requesting a privilege you currently do not have, you must meet the initial criteria for that privilege.
4) RETURN the form(s) to the coordinator assigned to you
If you have additional questions you may contact Staci Hightower, Supervisor here.
Physician Forms:
Indian Trail Obstetrics and Gynecology
Indian Trail Oral and Maxillofacial
Advanced Practice Provider (APP) Forms:
Indian Trail Physician Assistant (P.A.)
Indian Trail Certified Registered Nurse Anesthetist (CRNA)
Thank you for your commitment to Atrium Health!