Physicians, Dentists, Podiatrist
Lakeview Surgery Center is committed to providing a state of the art ambulatory surgery facility. We provide block-scheduling opportunities with short turn around times for your convenience and to improve your efficiency. Our staff is committed to working in partnership with you to provide an exceptional surgical experience for your patients.
If you would like more information about our center please contact Vicki Hertko, Executive Director. Phone 515-273-5240.
If you would like to apply for staff privileges you may download our application forms from the links below. Please contact our credentialing coordinator at 515-984-9406 with any questions.
Application Forms
- About Our Facility - pdf
- Instructions - pdf
- Lakeview Release Information - pdf
- Iowa Statewide Universal Practitioner Credentialing Application - editable - doc
- Iowa Statewide Universal Practitioner Credentialing Application - read-only - pdf
- Medical Staff Bylaws - pdf
- Medical Staff Rules and Regulations - pdf
Privilege Forms
- Anesthesia - pdf
- Dentistry - pdf
- Dermatology - pdf
- General Surgery - pdf
- Gynecology - pdf
- Hand Surgery - pdf
- Neurological Surgery - pdf
- Ophthalmology - pdf
- Orthopaedic Surgery - pdf
- Otolaryngology - pdf
- Pain Management - pdf
- Pathology - pdf
- Plastics - pdf
- Podiatry - pdf
- Radiology - pdf
- Sedation - pdf
- Urology - pdf
- Vascular Surgery - pdf
