Medical Professionals: Join Our Team
Thank you for expressing interest in providing care to our patients at Carroll County Memorial Hospital. Below you will find all policies and documents needed to begin the application process for medical staff membership and privileges at Carroll County Memorial Hospital.
If you have any questions or need any additional information please contact the medical staff office at 660-329-6065 or by email at credentialing@ccmhospital.org.
Applicants will receive a copy of the privilege form once their pre-application has been processed. Reappointing providers can reach out to the medical staff office to obtain a copy of the privilege request form.
Policies and Forms:
- Medical Staff Bylaws
- Carroll County Memorial Hospital Corporate Compliance Program
- Confidentiality and Protection of Patient Safety
- Incident Reporting
- Pre-application
- Medical Staff Application (Must complete and have prior approval of Pre-application)
- Allied Health Staff Application (Must complete and have prior approval of Pre-application)
- Medical Staff Reappointment Application
- Allied Health Staff Reappointment Application
CREDENTIAL VERIFICATION REQUESTS: Credential Verification requests may be emailed to credentialing@ccmhospital.org or faxed to 660-542-0363 ATTN: Credentialing. Please send a copy of the provider’s signed release along with your request.