Atrium Health Surgery Center Indian Trail forms

Weather Alert: Some locations may be closed or opening late. Impacted patients will be notified directly by their clinic through email or text message. View a list of our closings and delays. Our emergency departments remain open 24/7. In the event of a medical emergency, individuals should call 911 or go to the nearest emergency department. For non-emergent minor conditions and illnesses, we offer 24/7 urgent care video visits. Start a visit now.

Please follow the steps below to complete Phase I - Clinical Privileges Update of the reappointment process for Atrium Health Surgery Center Indian Trail.

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.

If you are requesting a privilege you currently do not have, you must meet the initial criteria for that privilege.

Print and complete the Delineation of Privileges (DOP) that reflects your specialty/current practice.
Return the form(s) to the coordinator assigned to you.