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Thank you for your request for information concerning a Medical Staff/Allied Health applicant to your facility. Due to the high volume of requests and lack of resources to timely process each form by manually completing all of the information requested, we find it necessary to respond with this form letter. The limited practitioner-specific information is being provided to you with the hope that you will find it sufficient. Please be assured that this form letter will not generate if any disciplinary action has been taken or is currently pending. For specific information, please direct your request directly to the Director of Medical Staff Services.
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Your privacy is important to us. The information you provide below will only be used to track your request.
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* The Medical Staff Services Department is unable to confirm the accuracy of archived historical data. Additional historical data may be available via manual review. For questions please contact us directly at (323) 260-4172 or via Fax# (323)260-4183.

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