Please follow the steps listed below. Once complete, please return all documents directly to Medical Staff Services by e-mail to firstname.lastname@example.org, by fax to (601) 984-4119, or by U.S. mail to 2500 N. State St., Jackson, MS 39216. Please contact us at (601) 984-4124 if there are any questions about the required documents.
Print and complete ALL documents in this section. (Click on the form name to access the document.) Please note that applications will not be accepted and/or processed without Department approval.
UHHS application documents
It is not necessary to print the documents below. They are provided for your review as you complete your application documents.
Print and complete only applicable documents from this section. (Click on the form name to access the document.)
2500 North State Street
Jackson, MS 39216
General Information: 601-984-1000
Patient Appointments: 888-815-2005