MEDICAL AFFAIRS OFFICE
310 East 14th Street
South Building-Basement, Suite B07
New York, New York 10003
Phone: (212) 979-4661 / 4664 / 4305
Fax: (212) 353-5950
The Reappointment Application for the Professional Staff and Allied Health Professional Staff whose cycle will be ending May 31, 2013 will be available from December 10, 2012 to February 15, 2013. Applications received or completed after February 15, 2013, will incur a late fee of $500.00.
IN ADDITION to the Reappointment Application and Data Review, current copies of the following documents must be submitted to the Medical Affairs Office via scan/email, mail, and/or fax:
Please note that we do not need the Declarations Page or Binder. It must say “CERTIFICATE OF INSURANCE.” If you do not have it, then you must call your malpractice carrier and have them send one to us.
Reminder: Reappointment to the Professional Staff at the Infirmary is contingent on the following NYEEI centered activities but not limited to:
Please note that your application will NOT BE PROCESSED if you are on suspension for delinquent Medical Records.
The Reappointment Application is available for submission in two formats:
Your reappointment application will not be complete until ALL supporting documents are submitted from the above checklist. A late fee of $500 will be assessed if any items are missing.
You will be able to review, and correct as needed, the information currently in your file.
IMPORTANT: Your computer must have Adobe Acrobat Reader version 8 or higher to access and electronically sign forms. Download Adobe Acrobat for free, here: http://get.adobe.com/reader/
Notice to Mac Users: By default, Mac computers will try and open the electronic forms in Apple Preview. You will need to first save the file, launch the free Acrobat Reader and then open the file.
Please call the NYEEI Information Systems Help Desk at (212) 979-4273 if you have any technical difficulties.
FINALLY – you must complete PART A and PART B (Data Review and Reappointment Application) (Click here to view the illustrated instructions)
Medical Affairs Office
The New York Eye and Ear Infirmary
310 E. 14th Street
New York, NY 10003
(212) 979-4305/4664/4661 TEL
(212) 353-5950 FAX
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