Provider Orientation Acknowledgement Form

Thank you for completing SoutheastHEALTH’s online New Provider Orientation. Please complete and acknowledge the following information. A completion notice will also be electronically sent to the SoutheastHEALTH Medical Staff Office to be attached to your credentialing file.

As a new medical staff member or provider, you are required to complete this online orientation prior to exercising privileges at a SoutheastHEALTH Hospital facility.

Please remember to complete and provide other required documents listed in the Conclusion: Documents to Complete section to the Medical Staff Office as directed. Your orientation will not be completed until the Medical Staff office receives these documents.

The text you enter here is displayed directly below the form name. This could be, for example, a description, some instructions, or any other information.

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Please confirm that you have reviewed and fully understand the following materials:
Medical Staff Guidelines
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Medical Staff Bylaws
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Rules and Regulations
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Medical Staff Documents
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Quality
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Cerner
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Radiation Safety
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Case Management
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Charge Entry and Coding
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Compliant Documentation
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PACS
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Inpatient Rehab
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