Complete the form
To request an application for privileges and/or membership complete the fillable form. Once complete, the request will be forward to the Medical Staff Office in order to release an Initial Online application.
Initial applicants: review qualifications & process
Thank you for your interest in applying for privileges, below you will find information required for the credentialing process.
- Application Checklist
- Application process
- Initial Application fee is $500 check needs to be made payable to Saint Peter’s University Hospital