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Application

In order to receive privileges at Kaleida Health, applicants are required to complete the Medical/Dental Staff Application form and an online learning tutorial (in Step 4).

Please refer to the FAQ section if you have questions on the application process.

Before you begin instructions!

  1. Please view this short introduction video (3min 27sec) regarding the application process.

  2. Create a folder on your computer/desktop called"Kaleida Health Application." This is where you will save all PDFs and scanned documents during the application process.
  3. Review check list and gather the required documents that need to be scanned into your computer. If you are not able to scan documents, you will need to mail them as outlined below.

     Download MD Checklist  Download APP Checklist

  4. Upload a high resolution jpeg (300 dpi) passport size photo   to your computer.
  5. There will be some documents throughout the application that you will need to print, please be sure to have a printer available.
  6. Those documents requiring your signature are listed on the Kaleida Health signature attestation form (you will print the form; sign, date and add as an attachment with your application and jpeg photo).
  7. Select “print documents” (“print documents” will print only those additional documents that require your signature).

Send application by email

  1. Select “submit via email,” an email window may or may not open due to computer software available. If it does open, attach any documents at this time (please be sure that the scanned documents are legible). If it does not open, please go to your email client and start a new email with attachments to newapplications@kaleidahealth.org.
  2. Click send and your application will be delivered to the Medical Staff Office. You will receive an email in response confirming the receipt of your application. Within 7-12 business days, you will receive an email outlining any additional requirements and/or missing information.

Send application by mail

  1. If you do not wish to submit your application electronically, select “PRINT ALL” to print the application and additional documents (this option should be used only if you are not going to complete the application electronically.)

What are required documents?

Required documents are any documents that the MSO has requested copies of and the signature attestation page.

What if I need to save and return to complete the application?

You MUST save the document to your computer.