Application
for Clinical
Privileges

All visiting medical practitioners at Townsville Day Surgery undergo credentialing in accordance with the National Credentialing Standard. Any doctor wishing to practice at our facility should access the application information via the link below.

Any Medical Practitioner wishing to utilise the TDS facilities should download the following documents to apply for clinical privileges:

TDS Medical Practitioners By-LawsDownload

TDS Clinicians Code of ConductDownload

Credentialing & Scope of Practice Form – Visiting Medical PractitionersComplete Form

Download PDF version here


Credentialing & Scope of Practice Form – Supporting PersonnelComplete Form

Download PDF version here

The application form, together with copies of the following:

  • Current CV
  • Proof of Identity Documents
  • Registration Certificate
  • Indemnity Insurance
  • Covid Vaccination Statement (if applicable)
  • Immunisation History Statement
  • Post Graduate Qualifications and copy of College Fellowship (if applicable)
  • Most recent CPD Certificate from your College
  • Executed copy of the Clinicians Code of Conduct
  • Copy of Hand Hygiene Certificate

Should be forwarded to the Medical Advisory Committee via mail, fax or email:

Credentialing Officer,
Townsville Day Surgery,
1 Martinez Avenue, West End Qld 4810.
Fax : 07 4725 4566
Email : credentialing@townsvilledaysurgery.com.au

All VMPs credentialed with TDS are required to maintain accreditation with the Mater Hospital, Townsville, in the event of patient transfer for higher level care.

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