Carolinas HealthCare System

Medical Staff Application

To complete the application you will need to access the link below. You will need to enter your email address. If you have not previously created a password you will need to select “First Time Login” to create one. Due to the time-sensitivity of this information and levels of approval, it is imperative that you submit your application, along with all supporting documents, within 5 days to avoid potential delays in your scheduled start date. If we do not receive the application and all supporting documents within 10 days, your packet is considered incomplete and a new start date will be requested.

Step 1: OPEN AND REVIEW - Mandatory - Medical Staff Education PowerPoint

  • Please open and read the attached slides relating to Medical Education for EMTALA, Emergency Management, Corporate Privacy and Pain Assessment and Management. **Please note you will be signing an attestation in your application documents indicating you reviwed this PowerPoint.
  • Access the Documentation Library to review any addtional education modules that you will need to complete the application process.

Step 2: Log in to the Application Module 

  • Select "Save & Continue" throughout the process.
  • Check all information carefully for completeness and accuracy. Your application may be pre-populated with information you have provided to us through an initial or reappointment application.

Step 3: Please complete all information within the apps section. **Complete all questions.

  • Apps -> Carolinas HealthCare System Tab -  Edit each field on the left-hand side
  • Health Status - input your TB and Flu (documentation required)
  • Answer all Questions
  • Click "Review Information"
  • Go to "Sign Documents"
  • "Click to Sign"  to open each document
  • TYPE IN YOUR FULL NAME at the bottom of the document
  • Click "Sign Application"
  • Click "SUBMIT" once all documents are signed

Professional Photo: Please provide a professional photo as this photo will be displayed on the CHS Physician Connect webpage.

Tip for Completing Education, Affiliations, and Work History Accurately:

  • If the item is not found, choose "INSTITUTION NOT PRESENT" and type the institution name in the Comments Section at the bottom of the page.

To receive real-time updates on your status please visit:

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