Provider Applications and Requests
Each Presbyterian Medical Staff Affairs Office oversees all provider applications and requests for their Medical Staff. Please see links for specific applications and requests:
Hospital Privilege Application
Through our online application process, a provider may request and apply for privileges and/or membership at one or multiple Presbyterian Healthcare Services' hospitals and/or clinics. In addition, providers currently on staff will have the opportunity to complete and submit their application through our online application process. The Presbyterian CVO team will perform the primary source verification on behalf of the hospitals and/or clinics.
Reappointment Applications & Changing Privileges
If you need to complete your reappointment application, please contact the CVO at CredVerOrg@phs.org
If you have questions regarding reappointment or changing your privileges, please contact the appropriate Medical Staff Affairs office
Voluntary Resignation
If you do not wish to be reappointed to the Medical Staff or wish to resign, please submit the resignation letter request form linked below.
Provider Affiliation Verification
Presbyterian Healthcare Services is pleased to provide an online portal for instant verification of Medical Staff affiliations can be obtained.
When requesting information on a provider, you will be required to complete the fields with red asterisks, then check the acknowledgement box. Once complete, please select the search button and your provider’s name will appear. Select their name and the results will be given. If you have any questions regarding the results, please contact the appropriate Medical Staff Affairs office
The portal includes practitioner status information and is maintained by the Presbyterian Medical Staff Affairs Offices. All information contained in the database is secure and cannot be altered by outside parties, therefore meeting Joint Commission standards.
Provider Activity of Case Log Request
If you are a provider in need of a case log of your activities/procedures performed, please make your request by sending an e-mail to provideractivtyrequest@phs.org
Certificate of Insurance Request
If you are an employed provider and need a copy of your certificate of insurance, or require claims information, please visit us on PresNet for more information.
