|
|
|
| |
|
Application Process
|
|
|
|
Welcome! There are several ways to submit your
application (Online, fax or regular mail). This page will describe your options
and outline the steps required for participation.
|
|
|
|
Online Submission
(Preferred!) |
|
|
After pressing the "Online Application” button below,
you will be taken through the following steps to complete your Application. |
| |
|
|
Physician Agreement
– After reading the Physician Agreement press “I Agree”
to continue (View Physician Agreement). Please
note: You must print out, sign and fax the Agreement to our office at
770-552-9054. Your signature is required for our credentialing process. You may
fax the Agreement before or after you have completed your online Application. |
| |
|
|
|
Register for New Account -
You will register for a new account and select a login/password which
will create your personalized Application. |
| |
|
|
|
Payment - You
will be asked to pay the non-refundable application fee ($349) before
proceeding to the online application. |
| |
|
|
|
Complete Application -
After payment, you will be directed to your personalized Application to
complete. |
|
|
|
-
Uploading personal photo, before and after
pictures, CV – If you wish you can send these items
directly through the online process (preferred), or by regular U.S.
mail to the address below.
-
Once all of the Application sections are
completed, and our internal credentialing has taken place, CSC will contact you
regarding your participation. (Usually within 5-7 days)
-
At anytime during your Application process please
feel free to contact us at 770-552-3223, or e-mail at
docapp@cscfirst.com
|
|
View Physician Agreement
View
PDF version of Application
Must have Adobe Acrobat Reader to view
PDF Documents

(Download
now)
|
|
|
| |
| Manual Submission – Fax or U.S. Mail |
|
| |
|
Print out the PDF version of the
Physicians Application
(If you do not have Adobe Acrobat Reader, you may
download
it now).
|
| |
-
Print or type all sections on the Application
-
Include your personal photo (headshot), before
and after pictures, and CV
-
Enclose your check or credit card information
|
|
Mail to/Fax to:
Cosmetic Surgery Consultants
4379 Beechnut Court
Roswell, GA 30075
Tel: 770-552-3223
Fax: 770-552-9054
docapp@cscfirst.com
|
|
|
|
|
|
|
|