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Medical Staff Administration – Applications, Documents & Forms

Initial Applicants & Reappointments

Instructions to apply: Please click the corresponding link, read the letter, fill out the application with other paperwork then complete the privileges last.
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Initial Applicants Application

Apply for Privileges

Thank you for your interest in joining San Gorgonio Memorial Hospital’s Medical Staff. We are excited that you are interested in exploring a career at our hospital. The mission of San Gorgonio Memorial Hospital is to provide safe, high-quality, personalized healthcare services. Patients trust San Gorgonio Memorial Hospital to provide safe, personalized healthcare services. We make those we serve our highest priority, respect privacy and confidentiality, communicate effectively, conduct ourselves professionally, have a sense of ownership and are committed to each other and to our community

Please visit our website and learn more about our hospital services. If you have any questions regarding medical staff membership, please contact the Medical Staff Office at 951-769-2155.

Please click on the appropriate link below to apply for privileges and membership at San Gorgonio Memorial Hospital (SGMH). You will find detailed information on how to complete and submit your online application and supplemental forms. If you have any questions regarding a hospital’s scope of service or appropriate clinical privileges, please contact our office. Please sign and date all of the supplemental forms where indicated and attach all requested supporting documentation. Upon completion, forward your application packet, along with the application fee, to San Gorgonio Memorial Hospital’s Medical Staff Office at the address noted below.

Processing Time for Completed Applications

Our average processing time is 60-90 days following receipt of a completed application. We ask that you pay special attention to the instructions included in your application packet, as San Gorgonio Memorial Hospital cannot move forward with the credentialing process until the completed application has been received.

San Gorgonio Memorial Hospital
Medical Staff Office
600 N. Highland Springs Ave, Banning, CA 92220
Phone: 951-769-2155 | Fax: 951-769-4812