Credentialing

Policies: The following policies apply to all practitioners applying for privileges at Midland Memorial Hospital.

 

Payments:

Payments may be made using the Midland Memorial Hospital Online Payment System. When prompted, use account number 1101056746. An account set up is NOT required. All application fees must be received prior to consideration of the application.

 

Physicians:

Initial Application 
Texas Standardized Credentialing Application
 

Instructions to Physicians: The 'initial application' and 'TSCA' need to be printed, completed and returned to the Medical Staff Office. In addition, print off the clinical privileges specific to your specialty below and also return this information.

 

Allied Health Professionals (Mid-Levels):

Initial Application
Texas Standardized Credentialing Application

Instructions to Allied Health Professionals: The 'initial application' and 'TSCA' need to be printed, completed and returned to the Medical Staff Office. In addition, print off the clinical privileges specific to your specialty below and also return this information.

 

Allied Health Professionals (Non-Mid Levels) 

Initial Application

Instructions to Allied Health Professionals: The 'initial application' needs to be printed, completed and returned to the Medical Staff Office. In addition, print off the clinical privileges specific to your specialty below and also return this information.