Apply for Privileges

Thank you for your interest in joining the Medical Staff at Seneca Healthcare District. We are excited that you are interested in exploring a career at our hospital/clinic.

Please visit our services page to learn more about our hospital and clinc services.

Please click the link to the link below to apply for privileges and membership at Seneca Healthcare District. If you have any questions regarding our hospital's scope of service or appropriate clinical privileges, please contact our office. Please sign and date all of the supplemental forms where indicated and attach all requested supporting documentation. Upon completion, forward your application packet along with the application fee to Seneca Healthcare Districts Medical Staff Office at the address noted to the right.


JoAnn Mahloch
PH: 530-258-3981
FAX: 530-258-2068

Please mail your application packet along with the application fee to:

Seneca Healthcare District
Medical Staff Office
199 Reynolds Road, PO Box 737
Chester, CA 96020

Physicians & Allied Health Practitioners

Application Instructions

  • Download and save the Physician Application Membership Application
  • Fill out the form on your computer and save the completed document back to your computer
  • Mail the completed documents along with your curriculum vitiate (CV) and all requested attachments

Physician Application:

Supplemental Forms:

Allied Health Practioners Application: 

Nurse Practitioners & Physician Assistant Protocols:

Processing Time for Completed Applications

Our average processing time is 60-90 days following receipt of a completed application. We ask that you pay special attention to the instructions included in your application packet, as Seneca Healthcare District cannot move forward with the credentialing process until the completed application has been received.