Apply for Medical Staff Privileges

Apply for Medical Staff Privileges

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:

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.

El Camino Hospital 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