Please contact Medical Staff Services at (509) 573-3493 for information on credentialing. The pre-applications below 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 provided.


Physicians:  Pre-application for Medical Staff (MD, DO, DDS, DMD, DPM, Psychologists only)
ARNPs/PAs:  Pre-application for Allied Health Professionals (PA's and ARNP's only)

Student Applications

Active Students:  Active Student Application
Observation Students:  Student Observers Forms

Observer Students (Not designed for students who require clinical experience to meet program requirements and no confirmation of experience will be provided to an educational institution) Observer Application

Medical Staff Calendar of Events

December 2013 Calendar

Online Verification of Affiliation

Online Physician/AHP Hospital Verification using MD-Query

For updated information on the application process please contact:

New Applications   
Kevin Sprague                                                              
Medical Staff Coordinator                                                     
Phone (509) 573-3493                               
Fax (509) 575-5040                 

Rita Murphy, CPCS, CPMSM
Medical Staff Services, Manager
Phone (509) 575-5130
Fax (509) 575-5040

Washington State - Licensing