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Application Request Form

Request an Application

Dear Applicant:

A Professional Healthcare Provider interested in applying for membership and/or clinical privileges at New Orleans East Hospital is required to submit the APPLICATION REQUEST FORM AND CURRICULUM VITAE (CV). If the Professional Healthcare Provider meets the Governing Board’s eligibility requirements, the Medical Staff Office will send to the Professional Healthcare Provider instructions and website link to complete the ON-LINE INITIAL APPLICATION.

If you have any questions, please contact the Medical Staff Office at 504.592.6530 or email credentialing@noehospital.org.

PLEASE ATTACH A CV WITH THIS REQUEST FORM FOR THE INITIAL APPLICATION. THIS IS NOT THE APPLICATION.