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DELINEATION OF PRIVILEGES ORAL AND MAXILLOFACIAL SURGERY

DELINEATION OF PRIVILEGES ORAL AND MAXILLOFACIAL SURGERY 2026

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The document outlines the delineation of privileges for oral and maxillofacial surgery at Kaleida Health. It details the core privileges that can be requested by physicians after completing an accredited residency, including various surgical procedures, trauma management, and sedation requirements. Additionally, it specifies higher-level privileges that require additional training or experience. The document emphasizes the importance of proper documentation and training for privilege requests and includes a disclaimer regarding reporting to the National Practitioner Data Bank.

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Click ‘Get Form’ to open it in the editor.
Begin by entering your name and the date at the top of the form. This personal information is essential for identification.
Review the sections under LEVEL I (CORE) PRIVILEGES. Check the boxes next to each privilege you are requesting, ensuring not to use arrows or lines as specified.
Proceed to LEVEL III PRIVILEGES. Similar to Level I, check the appropriate boxes for privileges that require additional training or experience.
In the details section, provide any necessary explanations if privileges are not granted due to specific reasons such as lack of documentation or required training.
Finally, sign and date the application at the bottom before submitting it through our platform for processing.

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