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Credentialing Application
Access the appropriate application forms to apply for appointment to the medical or allied health staff of Forsyth Medical Center and Kernersville Medical Center.

http://10.3.26.22/eprise/main/SiteGen/Uploads/Public/fmc_mdlinks_docs/Medical_Staff_Services/2010_Physician_Packet_NEAHP_.pdfhttp://10.3.26.22/eprise/main/SiteGen/Uploads/Public/fmc_mdlinks_docs/Medical_Staff_Services/2010_Physician_Packet_NEAHP_.pdfInitial appointment and clinical privileges for Forsyth Medical Center and Kernersville Medical Center may be applied for by using the online application form.  Please keep in mind that the processing of an application is an average of 6-8 weeks from the time we receive an application completed by you until your file is ready to be presented to the Credentials Committee.

Request Application Packet 
To request an application packet, please click here

If you have questions or need to discuss anything with us, please call (336) 718-5963 or (336) 718-5960.  You may also use the Contact Us Form and email your question. 

Additional Credentialing Application Documents
Once you receive your credentialing application, please return to this page and review the documents listed below. 

 

Other Information You May Be Interested In:
FMC Credentialing FAQ's
See the most frequently asked questions for credentialing and practice change.
2012 Meeting Calendar
A schedule of all meeting for the 2012 calendar year.