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CredentialingOfficeCharter Place 4th Floor, Suite 400 C 1465 Brenton Street Halifax, Nova Scotia B3J 3T4 Fax 9024737433 Email:credentialing@nshealth.confidential TO:Chair, CredentialsCommittee SUBJECT: REFERENCEFORAPPOINTMENTTONOVASCOTIAHEALTHAUTHORITY (Refereesmustbe:(1)acurrentorpreviousmedicalleader;and/or(2)apersontowhomtheapplicantreportedfor theircurrentormostrecentclinicalactivity) NAMEOFAPPLICANT:

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