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Printable version – PDF
format
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Thank
you for your interest in becoming a member of the medical staff
at HealthSouth San Francisco Surgery Center. Please find enclosed
an application and delineation of privileges. In addition to completing
these two forms we will need the following items:
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Your curriculum vitae |
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Continuing medical education (training certificates) |
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Copy of your medical license |
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Copy
of your DEA |
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Copy of ACLS/CPR card (if applicable) |
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Proof
of Insurance coverage (1million/3 million) |
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Any
Board Certifications |
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X-ray
license (if applicable) |
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PA supervisor license (if applicable) |
Please be sure to complete the application completely, and send
current licenses, as an incomplete packet can delay your appointment.
We would like to draw you attention to the by-laws which require
your hospital admitting privileges be within the city limits of
San Francisco or at Seton hospital, or that you bring an assistant
whose admitting privileges meet this criteria. The return address
is:
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HEALTHSOUTH SAN FRANCISCO SURGERY CENTER
1635 Divisadero #200
San Francisco, CA 94115
Attn: Andrea Budd
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Processing
will take 2-12 weeks. Clean applications can be fast-tracked usually
within 2 to 3 weeks. We have also included for your convenience,
our scheduling criteria for your scheduler, as well as a patient
information sheet to be copied to your patients.
Should you have any questions, please contact:
Jessie Scott, administrator or Andrea Budd, medical staff coordinator,
at 415-346-1218.
We look forward to working with you at HealthSouth.
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