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1301 ROSE DR
PLACENTIA, CA 92870
714-993-2000
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Delineation of Medical Staff Privileges Being Requested 
 
 
 
 

Privileges are granted on an individual basis in accordance with the applicant’s documentation of training, experience and current clinical competence.   The practitioner is obligated to obtain appropriate specialty or subspecialty consultation when the diagnosis is complicated and beyond the scope of the practitioner’s specialty after ordinary diagnostic procedures have been completed; when there is serious doubt as to the choice of therapeutic measures to be utilized; when specific skills of other practitioners are needed; or when the patient’s situation is unusually complicated.

Privileges may only be performed where there are adequate facilities, equipment, number and type of qualified support personnel and resources.  (*R = Requested; A = Approved, D = Denied)

   Anesthesia
   Bariatric
   Cardiology
   Dermatology
   Emergency (ER)
   Family Practice
   General Surgery
   Gynecology
   Medicine
   Neurosurgery
   Nurse Practitioner
   Ophthalmology 

   Oral Surgery
   Orthopedic
   OTO
   Physician Assistant – Medicine
   Physician Assistant – Ortho
   Pathology
   Pediatrics
   Physical Medicine Rehabilitation
   Podiatry
   Thoracic
   Urology
   Vascular

Again, thank you for your interest in becoming a part of the PLH Medical Staff.  We look forward to receiving your application.  If you have any questions regarding completion of this application, please do not hesitate to contact Medical Staff Services at (714) 524-4252.

 
 
 
 
 
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