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Version #: 7 Title: TEMPORARY PRIVILEGES CREDENTIALING Document Owner: Chris Stefania Team: N/Approver(s): Denise Dubcek, Karyn DelgadoDate Approved with no Changes: 06/09/2020Location: Saint Joseph
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How to fill out temporary privileges request formcredentialing
How to fill out temporary privileges request formcredentialing
01
Obtain the temporary privileges request form from the appropriate credentialing department.
02
Fill out the form completely and accurately, providing all necessary supporting documentation.
03
Submit the completed form to the credentialing department for review and processing.
04
Follow up with the credentialing department if any additional information or documentation is required.
05
Await approval of the temporary privileges request before beginning any work or services.
Who needs temporary privileges request formcredentialing?
01
Healthcare professionals who require temporary privileges at a facility where they are not already credentialed.
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What is temporary privileges request form credentialing?
Temporary privileges request form credentialing is a document used to request temporary access or authorization for certain privileges within a specific organization or institution.
Who is required to file temporary privileges request form credentialing?
Individuals who need temporary access to specific privileges within an organization are required to file the temporary privileges request form credentialing.
How to fill out temporary privileges request form credentialing?
To fill out the temporary privileges request form credentialing, individuals need to provide their personal information, the specific privileges requested, the duration of the temporary access, and any supporting documentation.
What is the purpose of temporary privileges request form credentialing?
The purpose of the temporary privileges request form credentialing is to formalize and document the temporary access or authorization to specific privileges within an organization.
What information must be reported on temporary privileges request form credentialing?
The temporary privileges request form credentialing must include the individual's name, contact information, requested privileges, duration of access, reason for request, and any relevant supporting documentation.
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