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Credentialing Application
Access the appropriate application forms to apply for appointment to the medical or allied health staff of Presbyterian Healthcare.

All verifications will be performed by the Novant Health Credentials Verification Organization (CVO).  Appointment and clinical privileges for all Presbyterian Healthcare facilities must be applied for by using the Novant Health CVO Application.  This includes the North Carolina Uniform Application for your convenience.  Download the appropriate form according to your discipline, as well as the appropriate clinical privilege form (if you are applying for clinical privileges), then follow the detailed instructions provided on the coversheet of the application.  Please keep in mind that the processing of an application takes an average of 6-8 weeks from the time the Novant Health CVO receives an application fully completed by you until your file is ready to be presented to the Credentials Committee at Presbyterian Healthcare.  Please see Credentialing FAQs for further information.

Download Application Form
You must have Adobe Reader (or Writer) to download and view this form.  Click here to download and install the latest version of the free software for Adobe Reader.

To access the appropriate uniform application form,  

Request Application Packet by Mail
If you would rather have an application packet mailed to you, please click here

If you have questions or need to discuss anything with us, please call 704-384-4102.  You may also use the Contact Us Form and email your question. 

Additional Credentialing Application Documents/Forms
Once you receive your credentialing application (either by download or by mail), please return to this page and review the documents listed below. 

Other Information You May Be Interested In:
Uniform Reappointment Self Study
Click here to review self study and EMTALA materials for reappointment.