Credentialing Forms
If you are prompted to open or save, it is recommended that you select save. Then open the form, complete, print and return in the approved method.
- Initial Application Part I
- Initial Application Part II
- Reappointment Application Part I (Please contact the verification specialist that handles your alpha range for this application)
- Reappointment Application Part II (Please contact the verification specialist that handles your alpha range for this application)
- Clinical Privileges
- Chair Requests
- Address Forms
- Peer Reference Form
- Initial Application for AHP's, Others
- Initial Application Part I
- Initial Application Part II
- Initial Application Part II-EHC Nurses-Techs
- Clinical Performance Evaluation of Physician Assistant or Anesthesiologist Assistant
- National Commission for Certification of Anesthesiologist Assistants/Request for Verification of Certification
- Physician Assistant Requirements for Prescriptive Authority
- Basic Job Description for Anesthetist (AA's)
- Basic Job Description for Physician Assistants (PA's)
- Basic Job Description for EJC AHP-Nurse Practitioner at Emory Johns Creek Hospital
- Basic Job Description for EJC AHP-Certified Nurse Midwife at Emory Johns Creek Hospital
- Basic Job Description for EJC AHP-Neonatal Nurse Practitioner (Advanced Practice Nurse)
- Basic Job Description for EJC AHP-Registered Nurse at Emory Johns Creek Hospital
- Basic Job Description for EJC AHP-Surgical Tech at Emory Johns Creek Hospital
- Reappointment Application for AHP's, Others
- Reappointment Application Part I (Please contact the verification specialist that handles your alpha range for this application)
- Reappointment Application Part II (Please contact the verification specialist that handles your alpha range for this application)
- Attestation of Biennial Quality Review (Physician Assistant or Anesthesiologist Assistant
- National Commission for Certification of Anesthesiologist Assistants/Request for Verification of Certification
- Physician Assistant Requirements for Prescriptive Authority
- Basic Job Description for Anesthetist (AA's)
- Basic Job Description for Physician Assistants (PA's)
- Basic Job Description for EJC AHP-Nurse Practitioner at Emory Johns Creek Hospital
- Basic Job Description for EJC AHP-Certified Nurse Midwife at Emory Johns Creek Hospital
- Basic Job Description for EJCH AHP-Neonatal Nurse Practitioner (Advanced Practice Nurse)
- Basic Job Description for EJC AHP-Registered Nurse at Emory Johns Creek Hospital
- Basic Job Description for EJC AHP-Surgical Tech at Emory Johns Creek Hospital
- Work History Form
- Emory Johns Creek Hospital Bylaws
- Emory Johns Creek Hospital Rules and Regulations
- Emory Hospitals Bylaws - Articles II, III and VI
