Click to download the application (PDF format)
Click to download the application (.doc format)
This form must be completed in its entirety & mailed with a $50.00 pre-application fee to: Tampa General Hospital Att: Medical Staff Office P.O. Box 1289 Tampa, FL 33601-1289 (Check made payable to: TGH Medical Staff Activities Fund)
THIS FORM IS FOR MEDICAL STAFF ONLY - ALLIED HEALTH PROFESSIONALS MUST REQUEST AN APPLICATION FROM MEDICAL STAFF SERVICES.
For questions or more information please call: (813) 844-7229 between 8 a.m. and 5 p.m. Monday - Friday.
