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APPLICATION FOR INITIAL CREDENTIALING Advanced Practice

APPLICATION FOR INITIAL CREDENTIALING Advanced Practice 2026

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The document is an application form for clinical privileges at Gleneagles Hong Kong Hospital (GHK), outlining the requirements for credentialing medical practitioners. It specifies the necessary qualifications, documentation, and processing time for applications. The form includes sections for personal information, academic background, work experience, and requests for specific clinical privileges in Immunology & Allergy and sedation. It emphasizes the importance of maintaining updated personal data and provides contact information for privacy inquiries.

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Click ‘Get Form’ to open it in the editor.
Begin with Part A, Personal Information. Fill in your name, HKID, and contact details. Ensure all mandatory fields are completed for a smooth application process.
Proceed to Academic Background. List your educational qualifications and registration details with the Medical Council of Hong Kong. Attach any necessary certificates as required.
In Part B, provide your Work Experience in chronological order. Include the names of institutions and positions held, ensuring clarity on part-time roles if applicable.
For Referees, complete the section with three professional contacts who can vouch for your qualifications. Make sure to obtain their consent beforehand.
In Parts C and D, specify the privileges you are applying for by checking the appropriate boxes and confirming your understanding of related policies.

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