Brigham and Women's First Time Application for Privileges
Please ensure you submit the following:
Completed POI Form
Copy of Malpractice Insurance
Current Resume
Two Reference Letter
Copy of a Government Issued ID (Driver's license, passport)
Copy of your current Nursing license
Copy of your current BLS
Attestation of Outside Employment
HealthCare Clearance Form (Non-Brigham Employees)
or drag stuff here
Your files will be uploaded securely to Peter Kirby's Dropbox account. More about file requests and our privacy policy.