Physicians Applications & Clinical Privileges

Please complete the Medical Staff application and clinical privilege form posted below and return it to:

Medical Staff Services

Bay Medical Center

615 N. Bonita Avenue

Panama City, FL 32401

(850) 747-6927

The following files are available in PDF format. Upon receipt of this material, various verification letters will be mailed or faxed out (if you provide fax numbers for your professional references, etc.) for information in support of your application. Upon receipt of responses to these letters and any additional information requested, your application will be considered by the applicable department chairperson and the Credentials Committee. A recommendation on your application and clinical privileges will then be made to the Executive Committee and Board of Trustees. If you have any questions, please call (850) 747-6927.


Medical Staff Application

Physician Application for Clinical Privileges (click on link)


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Physician Clinical Privilege Forms

Department of Emergency Medicine

Department of Hospitalist Medicine

Department of Medicine


  • Allergy & Immunology
  • Cardiology
  • Dermatology
  • Endocrinology
  • Family Practice
  • Gastroenterology
  • General Medicine
  • Hematology & Oncology
  • Infectious Diseases
  • Internal Medicine
  • Nephrology
  • Neurology
  • Pain Management
  • Palliative Medicine
  • Physical Medicine & Rehabilitation
  • Psychiatry
  • Pulmonary Medicine
  • Radiation Oncology
  • Rheumatology


Department of Obstetrics & Gynecology

Department of Pathology

Department of Pediatrics

Department of Radiology

Department of Surgery


  • Anesthesiology
  • Cardiovascular & Thoracic Surgery
  • Dental Surgery
  • General Dentistry
  • General Surgery
  • Neurosurgery
  • Ophthalmology
  • Oral Maxillofacial Surgery
  • Orthodontics
  • Orthopedic Surgery
  • Otolaryngology
  • Plastic Surgery
  • Podiatry
  • Urology
  • Vascular Surgery


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