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Bon Secours Physician Forms

·     Physician Office Staff security (Credentialed or Employed Physicians only)

·     Non-credentialed Physician or Physician Staff

·     Inactivate Physician or Physician Office Staff

·     Physician Profile Only 

The purpose of this form is to obtain access for credentialed physicians to networked computer system(s) in Bon Secours Virginia. 

Required fields are noted with an asterisk (*). 

Last Name *
First Name *
Middle Initial
ADS

Check all that apply

Richmond Academy Number (RAM)
 Athena - Billing system for practice management system
 Biomedix TrakNet - Enables physicians to create/sign reports summarizing Vascular Exams.
 Centricity Perinatal - Used by L&D; Fetal monitor data.
 CoPath - Laboratory system used for Pathology/Cytology specimens (per regulations, ordering provider must be captured in the system from the HIS).
 GE DMS - Enables physicians to create/sign reports summarizing cardiology procedures (echoes, caths, etc.). Creates a worklist for cardiology technologists (echo techs, etc.)
 GE Muse - Enables physicians to interpret/sign EKGs, stress tests, and holter exams.
 Nihon Koden Neuroworkbench EEG EMU - Enables physicians to interpret/sign EMU tests.
 Radiology (Novius) - Radiology Application Interfaces w/ PACS, Powerscribe and CC.
 Stentor iSite Enterprise - Downtime PACS Solution.
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