Podiatry Core Privileges - Texas Spine Joint Hospital - tsjh 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering your name in the designated field at the top of the form. This identifies you as the applicant.
  3. Indicate whether this is an initial appointment or a reappointment by selecting the appropriate option.
  4. Review and ensure you meet the eligibility requirements listed, including completion of an accredited training program and prior experience.
  5. In the 'Requested Privilege' section, check all privileges you wish to apply for, ensuring they align with your qualifications and experience.
  6. For any privileges requiring additional documentation (like laser surgery), make sure to attach relevant certifications as specified.
  7. Finally, sign and date the acknowledgment section to confirm that you are qualified for the requested privileges.

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