Montgomery General Hospital

To apply for privileges at Montgomery General Hospital, please send an email, to credentials@montgomerygeneral.com, stating the following:

• NAME
• ADDRESS
• PHONE NUMBER
• FAX NUMBER
• SPECIALTY
• BOARD CERTIFICATION

We will forward a Delineation of Privileges form to you, tailored to your specialty.

Please complete and mail the following:

• Maryland State Credentials Form: http://www.dhmh.state.md.us/ohcq/hospcapp/hospcapp.pdf
  
  
• MGH Supplemental Application Form
  
  
• Delineation of Privileges Form for your specialty (requested from credentials@montgomerygeneral.com see above.)

OUR MAILING ADDRESS:

Montgomery General Hospital
Medical Staff Services
ATTN: Credentialing
18101 Prince Philip Drive
Olney, MD 20832

The Montgomery General Hospital Medical Staff Bylaws and Rules and Regulations will be emailed together with your Delineation of Privileges.

If you have any further questions, do not hesitate to contact our Credentials Specialists at (301)774–8859 or 8869.