Sentara Hospitals Medical Staff Application Request Form

The Sentara Hospitals Credentialing Office processes applications for Medical Staff membership and clinical privileges for physicians and allied health professionals for the Sentara hospitals listed below. To request an application, please complete the Sentara Hospitals Medical Staff Application Request Form by clicking on the link below and answering all of the questions. Your application will be sent to the email provided within 3 to 5 business days. We will contact you if we have any questions.

  • Sentara Albemarle Medical Center
  • Sentara CarePlex Hospital
  • Norfolk Hospitals
    • Sentara Norfolk General Hospital
    • Sentara Leigh Hospital
  • Sentara Northern Virginia Medical Center
  • Sentara Obici Hospital
  • Sentara Princess Anne Hospital
  • Sentara Virginia Beach General Hospital
  • Sentara Williamsburg Regional Medical Center

Start the process on-line by clicking Application Request Form.

For additional information or questions about this form, please contact us at:

Sentara Hospitals Credentialing Office
600 Gresham Drive, 7B
Norfolk, VA 23507
Phone: 757-388-6175
Fax: 757-388-6176

Or email