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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 & privilege delineation form(s) may be extended.
 
Physician Pre-Application (MD, DO, DDS, DPM only):  PreApp_MedStaff_2016

Allied Health Pre-Application (ARNPs/PAs only):  PreApp_AHP_2016

Medical Staff Bylaws:  2015_MS_Bylaws.pdf

Please return your completed pre-application & supporting documents to:

Rita Murphy, CPCS, CPMSM       
Medical Staff Services
Astria Toppenish Hospital
502 W. 4th Avenue
Toppenish, WA  98948

For updated information on the application process please contact:  Rita.Murphy@toppenishhospital.com
Phone:  (509) 865-1520
Fax:  (509) 865-1519 

Washington State - Licensing: 
Physician (MD) and physician assistant forms: http://www.doh.wa.gov/LicensesPermitsandCertificates/MedicalCommission/MedicalLicensing/ApplicationsandForms.aspx
Physician (DO): http://www.doh.wa.gov/LicensesPermitsandCertificates/ProfessionsNewReneworUpdate/OsteopathicPhysician.aspx
Podiatry: http://www.doh.wa.gov/hsqa/Professions/Podiatry/default.htm

Drug Enforcement Agency Registration:
Application:  http://www.deadiversion.usdoj.gov/drugreg/index.html