Medical Staff Application
Thank you for your interest in applying for the Stanford and/or LPCH Medical Staff.
Please note: When requesting privileges for both hospitals you need only fill out one application.
The Medical Staff Application process is divided into six sections. Please go to each step and follow the directions carefully.
- Mandatory New Applicant Request Form (PDF)
*Complete this first and fax to (650) 725-0297. - Application
- Application Fee
- Privilege Forms
- Training Modules
- Mailing Instructions
*You can also navigate to any of the steps by using the navigation menu on the far left of this page.
PROCESSING TIME:
Our standard processing time is 90 – 120 days following receipt of a completed application.

