Follow the steps listed below. Once complete, return all documents directly to Medical Staff Services by email, by fax to (601) 984-4119, or by U.S. mail to 2500 N. State St., Jackson, MS 39216. Contact us at (601) 984-4124 if there are any questions about the required 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