Medical Staff Bylaws - Arkansas Children's Hospital

C. Agrees to be bound by the provisions of these Bylaws and the Medical Staff Rulesand Regulations, regardless of whether the application is approved;D. Represents and warrants that all information provided is true, correct and completein all material respects and agrees to notify ACH of any change in any of theinformation furnished; andE. Pledges to provide continuous care for his/her patients.7.1.8 The Applicant releases from liability all representatives of the hospital and its MedicalStaff for acts performed in good faith and without malice in connection with evaluating him/her andhis/her credentials, and releases from any liability all individuals and organizations who provideinformation to the Hospital in good faith and without malice concerning his/her competence, ethics,character, and other qualifications for staff appointment and clinical privileges, including otherwiseprivileged or confidential information.7.1.9 Upon recommendation by an ACH Service Chief, exceptions to requirements formembership or privileges may be made with approval by two-thirds (2/3) of voting members of theMSEC and two-thirds (2/3) of the voting members of the Board of Directors.7.2 Application for Appointment7.2.1 All applications for Medical Staff membership and for clinical privileges shall be inwriting, submitted on a form approved by the Board of Directors after consultation with MSEC, andshall be signed by the Applicant. The application shall contain consent to the release of information.Applications must be returned within three (3) months of the date sent or the application will not beprocessed.7.2.2 The Applicant shall have the burden of producing adequate information to properlyevaluate his/her competence, moral and ethical character, and other qualifications, and to resolve anydoubts about such qualifications.7.2.3 Information requested on the application shall be completed by the Applicant and verifiedby the Hospital or the CCVS. An application will be considered complete when all documents requestedand verifications are received by Medical Staff Services.7.2.4 If a history of practice-limiting health problems is identified, the practitioner mustprovide documentation as evidence of his/her current health status and receive a positiverecommendation from the Medical Staff Health Committee Chairperson (or designee).7.2.5 The application form will include a statement that the Applicant has received, read, andagreed to the following:13