Medical Staff Application Request

Los Alamitos Medical Center  

Please download and complete the Request for Application documents and Background Check in their entirety and return them with all required supporting documentation no later than (30 days). A request received after this date will be returned for update. Please mail, fax or email your documents to:

Los Alamitos Medical Center
Medical Staff Services
3751 Katella Ave.
Los Alamitos, CA 90720
(562) 799-3160
Fax (562) 799-3133
[email protected]

Upon receipt of the complete and accurate Request for Application, a determination will be made as to whether an Application for Medical Staff Appointment and Clinical Privileges may be extended to you. You will be notified of that determination, and if eligible, you will receive an application form as well as other specific information required for appointment and clinical privileges.

Thank you for your interest in Los Alamitos Medical Center. If I can be of any further assistance, please contact me at (562) 799-3160 or email [email protected].

Tracy Swancutt
Director, Medical Staff Services