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  • Clinical Privileges Renewal Application Form - Frm-045

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CLINICAL PRIVILEGES RENEWAL APPLICATION FORM For use by all Medical/Dental Practitioners seeking a renewal of their accreditation at the Burnside Hospital Please submit the completed medical application.

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The Joint Commission and Medicare hold hospitals responsible for granting privileges to their physicians. This means hospitals take full responsibility for awarding appropriate privileges, which means if the physician is not granted privileges, they cannot practice in that hospital.

Permission to provide medical and other patient care services in the granting institution, within defined limits, based on the individual's education, professional license, experience, competence, ability, health, and judgment.

Privileging is the process whereby a healthcare worker is authorized to perform a specific set of patient care services based on an evaluation of the individual's credentials and performance. A “privilege' is defined as a benefit that is not available to all healthcare workers.

There are several types of clinical privileges, including, but not limited to, telemedicine privileges, temporary privileges, and disaster privileges.

Clinical privilege means authorization to a medical staff member to provide medical services granted by a govern- ing authority or ing to medical staff bylaws.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232