Apply for Medical Staff Privileges

APPLICATIONS

• Packet Checklist
• California Participating Physician Application
• Alternate Coverage
• Attestation Questions
• Authentication of Written Signature
• Bylaws Agreement
• Confidentiality Agreement
• Pharmacy Physician Signature Verification
• Physician Acknowledgement Statement
• Pledge for Continuous Care
• Registry Student Volunteer and Physician Orientation Packet
• Teaching Agreement
• Teaching Application

PRIVILEGES

• Anesthesia/Pain Management
• Assist in Surgery
• Dentistry/Oral Surgery
• Dermatology
• Emergency Medicine
• General/Family Practice
• Internal Medicine
• Neurology
• Neurosurgery
• OB/GYN
• Ophthalmology
• Orthopedics
• Otolaryngology
• Outpatient Clinic
• Pathology
• Pediatrics
• Physical Medicine and Rehabilitation
• Plastic Surgery
• Podiatry
• Precepting
• Psychiatry
• Psychology
• Radiology
• General/Cardiac/Thoracic/Vascular Surgery
• Urology

RULES AND REGULATIONS

• General Rules and Regulations
• Allied Health Professionals
• Medical Staff Bylaws
• Department of Medicine and Family Practice
• Department of OB/GYN/PEDS
• Department of Surgery