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Apply for Medical Staff Privileges

Last Updated 1/13/2014 10:48:46 AM


Thank you for your interest in joining the El Camino Hospital Medical Staff. To begin the process, please download and complete the appropriate questionnaire below:

Image of PDF Icon - click to download the bylaws.Pre-application Questionnaire

Image of PDF Icon - click to download the bylaws.Pre-application Questionnaire for Allied Health Professionals

Please fax the completed questionnaire to our Credentialing Coordinator as directed in the pre-application document.

Once the pre-application is received and basic qualifications confirmed, an online application for medical staff membership will be sent via the e-mail address provided by the practitioner.

As part of the application process, you will be asked to acknowledge that you have been furnished with a copy of the Medical Staff Bylaws of El Camino Hospital and agree to be bound by the Bylaws and Rules/Regulations of the Medical Staff.

Our medical staff offices are located at:

Mountain View Campus

2500 Grand Road – M/S 1C35
Mountain View, CA 94040
Phone: 650-940-7040

Los Gatos Campus

815 Pollard Road – M/S LGH205
Los Gatos, CA 95032
Phone: 408-866-3931

Pre-Application Questionnaire

Medical Staff Bylaws