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To Refer a Patient, call the Physician Liaison Service at 1-888-539-8741

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Privilege Request

Initial Application & Reappointment

Each medical staff application for appointment or reappointment must contain a request for specific privileges desired by the applicant.  A request for privileges or a modification of privileges must be supported by documentation of training and/or experience.

  • You will receive a separate e-mail with the privilege form(s) from Medical Staff Administration.
  • Print the form(s).  Sign and return the completed form(s) to Medical Staff Administration with your completed application. 

Medical Staff Administration
200 W. Arbor, #8821
San Diego, CA 92103-8821

Request Privilege Mid-Cycle

Applicant must complete the Additional Privilege Request application - See Medical Staff Policy for additional information and process. Contact Medical Staff Services Administration at (619) 543-7874.

QUESTIONS?
  • Medical Staff Administration Main Line - (619) 543-7874
  • New Applicants & Allied Health Professionals - (619) 543-7833
  • Reappointment - (619) 543-7811