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An application packet for appointment to the Medical Staff and/or for clinical privileges will be provided to an inquirer who meets the minimum eligibility criteria.

This includes the following:

  • Unrestricted license to practice (medicine, dentistry, podiatry or psychology) in the state of California.
  • Board Certified by the specialty board pertaining to the practitioner’s clinical privileges or must become board certified within five years of the practitioner’s completion of his/her training program. Specialty board means a national board recognized by the American Board of Medical Specialties, the American Osteopathic Association, the Council on Podiatric Medical Education, the American Board of Dentistry or the American Board of Addiction Medicine. This requirement does not apply to licensed clinical psychologists.

Click here for a Medical Staff pre-application packet request form.

An application packet for Allied Health Professional status and clinical privileges will be provided to an Allied Health inquirer who meets the minimum eligibility criteria for the category for which they are applying. To obtain an application packet, contact Laura DeShane, Medical Staff Coordinator at 949-364-1400, ext. 7510.

All practitioners must have primary residency and primary medical practice in Orange County, California.

A copy of a current California licensure must accompany all requests.