For Physicians

TO REQUEST AN APPLICATION FOR PRIVILEGES:

Thank you for your interest in joining the Medical Staff of Summit Surgical Center, LLC. To begin the process, please send an e-mail to Robin Sigman, CPCS, Credentials Assistant, at [email protected]tua.org and include the following information.

  • Your full name
  • Your e-mail address (to ensure we are able to respond to your request)
  • Your street address, city, state & zip
  • Your phone and fax number
  • The medical specialty privileges for which you wish to apply

Once the e-mail request is received, the Medical Staff Office will respond with an e-mail to the address you have designated. That e-mail will include our medical staff application, any specialty privilege applications that you have requested and instructions on how to complete the process.

As part of the application process you will be asked to acknowledge that you have been furnished with a copy of the Medical Staff Bylaws Rules and Regulations, and agree to be bound by them.


For Physician Offices:

Below are some frequently requested forms:

Patient Brochures and Information:

Reference Materials: