Physician Privileging | Employee | Application for Hire

1st - Choose the application

Need Help filling out our applications?

2nd Step - Choose the specialty of surgical procedures you wish to perform.  If you are an allied health professional, choose the specialty of the surgeon you assist.  CRNAs, choose anesthesia.

Not all procedures are listed? Then choose the blank privilege form and list your procedures that are missing.

If you are the medical director of the facility, then you need this one too.

3rd Step - email these with the requested documents to

Our expert surgery center consultants are more than seasoned to assist you with your credentialing needs.


Surgery Centers must have a defined process for the Physicians' verification and validation of their education, training, and experience.  This is accomplished through the formal process of physician credentialing.  However, to perform surgical cases in an ASC, you must be given permission to perform these requested procedures even if you are the owner of the surgery center, the governing body must approve you for those cases requested.  To protect the surgery center, all approvals are documented and approved by the Board, which is the body that is fully responsible for the medical staff, its quality, its staff, and its outcomes.  

Primary Source Verification is attained via NPDB.  Secondary Source Verification is attained via the AMA.  For CA. Licensed Professionals, the 805 Report is Pulled.

With Identity theft at an all-time high, this process of vetting your physician's is no laughing matter, it is a serious matter that deserves special attention.  With that, you need someone experienced and dedicated to the passion and art of physician credentialing.

Read all about it, a platform to eliminate the redundancy in physician credentialing.

Watch this quick overview youtube presentation, tell us what you think and if you are interested.