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Clinical Subcontractor Report Form

This form should be filled out annually by any clinical subcontractors. It outlines licensing, appointment certification and credentialing for any clinical staff that provides services under the subcontract.

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Credentialing & Privileging Policy

Health Center credentialing and priviliging policy statement.
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Credentialing and Privileging of Licensed Staff

Policy and Procedure Manual by the Kalihi-Palama Health Center

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Credentialing Policy

Sample credentialing policy (see Human Resources for other credentailing resources).
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Delineation of Privileges for a Clinical Social Worker

Checklist of clinical social worker privileges for use with any applicants or new hires.

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Delineation of Privileges for a Registered Dietician

Checklist of registered dietician privileges for use with any applicants or new hires.

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Delineation of Privileges in a Dental Center

Checklist of delineation of privileges for either dentists or dental hygenists for applicants or new hires.

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Delineation of Privileges in Ambulatory Care

Checklist of Primary Care Practitioner privileges in ambulatory care for use with any applicants or new hires.

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Delineation of Privileges in Family Practice Ambulatory Care

Checklist of Delineation of Privileges in Family Practice Ambulatory Care for applicants or new hires.

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Delineation of Privileges in Obstetrics/Gynecological Care

Checklist of delineation of privileges for OB/GYN care for applicants or new hires.
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