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

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***SITE UNDER CONSTRUCTION***

Privilege Request - Steps 1-3

Initial Application & Reappointment

Each application for appointment and 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 supportive of the request.

Mid-Cycle Privilege Request

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.

STEP 1.  Download Application Form
STEP 2.  Download Privilege Form(s)

MEDICAL STAFF PRIVILEGES

ALLIED HEALTH PROFESSIONAL PRIVILEGES

STEP 3.  Submit the Completed and Signed Application, Privilege Form(s) and Supporting Documentation to:

Medical Staff Administration

200 W. Arbor, #8821

San Diego, CA 92103-8821

QUESTIONS
  1. Medical Staff Administration Main Line - (619) 543-7874
  2. New Applicants & Allied Health Professionals - (619) 543-7833
  3. Reappointment - (619) 543-7811