Fairfield Medical Center Medical Staff Services is your resource for Medical Staff Bylaws, Rules and Regulations and Medical Staff Department and Committee functions. They are also responsible for coordinating the credentialing process for Physicians and Advanced Practice Providers’.
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Practitioner Verification – Click here
Credentialing: Practitioner Eligibility Requirements
Only Practitioners with an active unrestricted license to practice in the State of Ohio who can document their background, experience, training and demonstrated competence, their adherence to the ethics of their profession, their good reputation and their ability to work cooperatively with others with sufficient adequacy to assure the Medical Staff and the Board of Directors that any patient treated by them in the Medical Center will be given a high quality of medical care, shall be qualified for appointment to the Medical Staff. A Practitioner must also provide evidence of satisfying requirements for board eligibility as well as evidence of certification or re-certification as applicable. Further, all Appointees of the Medical Staff must meet the continuing education requirements established for Practitioners as applicable to his or her licensure in order to be eligible for and continuously maintain licensure by the State of Ohio; maintain, at all times, professional liability insurance as required by the Center’s Board of Directors; and comply with state and federal law.
If you are interested in applying for medical staff membership or clinical privileges, please contact firstname.lastname@example.org for a pre-application request form.
Medicare ACO: Chronic Management Fax Form and Information
For information about Fairfield Community Health Partners and a link to the online Medical Shared Savings Program, please click here.