After Medical Staff Services has received your Provider Information Form you will receive an email from the Intake Coordinator requesting that you complete the Pre-Application. You will need to enter the email address provided in the email, then click “First Time Login”. An email will be sent to you with a link. Follow the directions in the email to create your password. Please save this password, you will need it to complete your full medical staff application at a later date. Once completed, sign electronically and submit within 1 business day.
SPECIAL NOTE: Upon our review of your pre-application and it is determined you meet eligibility, you will be sent a second email with a link to your medical staff application.
Step 1: Log in to the Application Module
Step 2: Please complete all information within the apps section. **Complete all questions.