Current Medical Staff members, click here for Bylaws, Rules & Policies
Please contact Medical Staff Services for information on credentialing.
Physicians: Pre-application for Medical Staff membership (MD, DO, DDS, DMD, DPM, Psychologists only) .
ARNPs/PAs: Pre-application for Allied Health Professionals (PAs and ARNPs only).
The pre-applications above include criteria for membership and/or privileges. Completed pre-applications should be returned to Medical Staff Services. Once it is determined that an applicant meets the minimum qualifications, a full application will be mailed.
AHP Limited: Application for AHP Limited Staff (Physician employed assistants including RN, LPN, Ultrasound Technicians, RN-First Assistant, Perfusionist, Dental/Oral Surgery Assistants, Surgical Technicians).
Students: Student application (all students)
For updated information on the application process please contact:
Vikki Gore, CPMSM Heidi Martinez
Medical Staff/CME Coordinator Medical Staff Coordinator
Vikki.gore@hma.com heidi.martinez@hma.com
509.575.5138 509.573.3493
Fax: 509.575.5040
Washington State - Licensing:
*Physician (MD) and physician assistant forms: http://www.doh.wa.gov/hsqa/Professions/Medical/forms.htm
*Physician (DO): http://www.doh.wa.gov/hsqa/Professions/Osteopath/default.htm
*Dentists: http://www.doh.wa.gov/hsqa/Professions/Dental/default.htm
*Podiatry: http://www.doh.wa.gov/hsqa/Professions/Podiatry/default.htm
*Psychology: http://www.doh.wa.gov/hsqa/Professions/psychology/default.htm
*Advanced practice nurses (including CRNAs): http://www.doh.wa.gov/hsqa/Professions/Nursing/forms.htm
*Registered nurse: http://www.doh.wa.gov/hsqa/Professions/Nursing/forms.htm
*Surgical technologists: http://www.doh.wa.gov/hsqa/Professions/Surgical_Technologists/default.htm