Phase I Forms for Clinical Faculty New Hires
Clinical Staff Membership - Initial Appointment Credentialing Documents
Congratulations and Welcome to the UVA Health System!
Within 5 days after signing your
offer packet, please complete the following:
2. Please return the completed and signed forms to the
Clinical Staff Office:
- Scan and email to RCLINICALSTAFFOFF@hscmail.mcc.virginia.edu
If returning the forms via email is not feasible, you may choose one of the following alternatives:
- Fax all documents to 434.244.7548
- Mail all documents to:
Clinical Staff Office
University of Virginia Medical Center
1215 Lee Street
McKim Hall, Room 1098
Charlottesville, VA 22908-0547
|Incomplete forms and/or materials submitted beyond five days after
the date of signing offer packets may impact timeliness of the
credentialing and privileging processes. This includes the
need to submit a photo with the Clinical Staff Membership Application -
see page one.
Contact us if you have any questions via:
- Email: RCLINICALSTAFFOFF@hscmail.mcc.virginia.edu
- Phone: Jessica Venable at 434.924.8778 or Amerylis Roberts at 434.243.0139
We will be in touch with you once the forms are received regarding Phase II (the final steps) of the hiring process.
We look forward to the successful completion of your hiring process!