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Additional documents required for the following privileges:

1. C-Arm / Fluoroscopy Privileges
   1. Required - Current CA Fluoroscopy or Radiography Supervisor/Operator Permit
   2. Submit copy of permit with Medical Staff Application
   3. Application for California Licentiate Supervisor & Operator Permit: http://www.dhs.ca.gov/rhb/HTML/applicationsandforms.htm
2. Moderate Sedation Privileges - Initial Request Only
   1. Upon request, Self-Study Materials & the Moderate Sedation Test will be e-mailed to you.
   2. Complete Test and Submit to Medical Staff Administration
   3. Passing Score Required for Moderate Sedation Privileges

Request Privilege Form(s) from Medical Staff Administration at (619) 543-7874