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.

• 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