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Sponsorship Request Application
Thank you for your interest in applying for staff membership and privileges at Chandler Regional and/or Mercy Gilbert Medical Center. Below are the minimum qualifications:
Please complete the Initial Application and return it with all required documents within 30 days. Upon review, we'll notify you in writing whether you meet the minimum qualifications. If you do not meet the qualifications, you will be so advised and given the opportunity to provide additional information. Upon receipt of a completed application (including any supplemental information requested), the investigation and review of your application will include at least the following:
If I can be of assistance or if you have any questions regarding the application process, please don't hesitate to contact me at 480.728.7162.
Guadalupe Mendoza, CPCS, CPMSM
Manager, Credentials Verification Office
DHAzCVO / Medical Staff Services
Chandler Regional and Mercy Gilbert Medical Centers
Please note: We do not recommend that you send sensitive information via email.