Nurse practitioner or PA must be employed by a participating MC provider-owned practice. Please provide the name of the HealthChoice provider who is your supervising physician

If you do not have privileges at a network hospital, you must provide the name of a network provider in your specialty OR a network hospitalist provider who has admitting privileges at a network participating facility (please list which facility) that has agreed to provide coverage if there is a need.

There are certain specialty providers that must have current privileges before they can go to committee review.
NP & PA must also provide network facility coverage. It may be your supervising physician.

If you do not receive the complete application packet by e-mail within 1 week, please call Kelly Jordan at MetroCare 901-360-1360 or email