Credentialing Applications

If you would like to apply for membership and/or privileges at Providence Regional Medical Center Everett (PRMCE), please send your request by email to

In your request, please include the following:

  • Date of Birth
  • Email address
  • Clinic or Group you are joining
  • Specialty
  • Degree (MD, DO, DPM, DDS, PhD, ARNP, CNM, CRNA, NNP, RNFA, PA-C, DA, MSW, MA, etc, )
  • Current CV
  • Current Driver's License
  • Headshot photo in JPEG format (solid, dark background).

PRMCE uses an electronic application. Once we receive the above information, you will receive two emails.

  • Email 1: Includes instructions and a link to access your application home page
  • Email 2: Includes your personal application password.

Upon signing into your application Home Page:

  1. Click on "Initial Application." Click on each document in the list and complete.
    Sign documents by clicking the "submit" button at the bottom of the screen and click "sign."

  2. Click on "Privilege Form"
    Check each privilege line item you want to request.
    Sign the document by clicking the "submit" button at the bottom of the screen and click "sign."

PRMCE uses the Epic Electronic Health Record. Proficiency in its use must be demonstrated prior to having access to Epic. Training is available. See the Epic section in the left-hand column.

Required reading - governance documents and policies applying to the medical staff

Governance documents