To apply for privileges at MedStar Montgomery Medical Center, please complete the following steps.
- Download and complete the Maryland State Credentials form.
- Download and complete the MedStar Montgomery Medical Center Supplemental Application form.
- Request a Delineation of Privileges form by writing to Bethany Legrand at [email protected]. Please include your first and last name and your specialty. The appropriate form will be e-mailed to you within two business days.
- 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 Bethany Legrand at [email protected] or 301-570-7675 .