CREDENTIALING ANG PRIVILEGING CHECKLIST FORM FOR PHYSICIANS

I. INITIAL APPLICATION

II. EDUCATION AND TRAINING

III. PROFESSIONAL EXPERIENCE

IV. LICENSING AND CERTIFICATION

V. CLINICAL COMPETENCE

VI. MALPRACTICE HISTORY

VII. CRIMINAL BACKGROUND CHECK

VIII. PRIVILEGING REQUEST

IX. FINAL REVIEW AND APPROVAL

X. RE-CREDENTIALING

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