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Applying for Privileges

To apply for privileges at MedStar Montgomery Medical Center, please complete the following steps.

  1. Download and complete the Maryland State Credentials form
  2. Download and complete the MedStar Montgomery Medical Center Supplemental Application form
  3. Fill out the Delineation of Privileges form request. The appropriate form for your specialty will be e-mailed to you within two business days.
  4. Once completed, mail all three forms to the mailing address below.  

MedStar Montgomery Medical Center
Attn: Medical Staff Services/Credentialing
18101 Prince Philip Drive
Olney, MD 20832

If you have any questions, please contact us at ltolbert@montgomerygeneral.com or 301-774-8859.


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MedStar Montgomery Medical Center  |  18101 Prince Philip Drive, Olney, Maryland 20832  |  Directions  |  301-774-8882 | Copyright 2013

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