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Request for Medical Staff Application (pre-application)

Click to download the application (PDF format)

This form is for Medical Staff only--Allied Health Professionals must request an application from Medical Staff Services

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)

For questions or more information please call:
(813) 844-7229 between 8 a.m. and 5 p.m. Monday - Friday.