Clinical privileging defines the scope and limits of practice for individual providers. Privileges are based on evaluation of the individual’s credentials and performance. Information on this form may be released to professional organizations if needed to license or monitor professional standards of health care providers.
Policy and Procedure Manual by the Kalihi-Palama Health Center
Request for Additional Privilege
Licensed Independent Practitioner
Application for Clinical Privileges
Specialty: Family Medicine
Application for Clinical Privileges Physician Specialty: Dentistry