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
The Office of Medical Staff Affairs is pleased to provide you with a fast and accurate on-line verification service. You can obtain an instant verification of Medical Staff affiliations for any of our practitioners associated with the Presbyterian Hospitals in New Mexico areas online:
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.
