Allied Health Credentialing

Thank you for your interest in applying for Allied Health Professional membership at Banner Ironwood Medical Center.  Our goal is to provide allied health professionals with an ideal environment to practice medicine that is efficient, effective, safe and healing.

Applications for allied health staff membership and privileges at Banner Ironwood Medical Center, along with supplementary forms and documents, are available online at the links below.

The Application Process for Banner Ironwood Medical Center

The first step in applying for Allied Health privileges is to submit the online initial application request form. Once this application is received by the Banner Health Credentialing Verification Organization, you will receive a more detailed application to complete. After submitting the initial application request form, please complete, sign and return the following documents to:

Banner Ironwood Medical Center
Attn:  Medical Staff Services
37000 N. Gantzel Road
San Tan Valley, AZ  85140

• Allied Health Rules and Regulations
• Delineation of Privilege Checklists
  • Certified Registered Nurse Anesthetist
  • Nurse Practitioner, Acute Care
  • Nurse Practitioner, Acute iCare 
  • Nurse Practitioner, Adult
  • Nurse Practitioner, Family
  • Nurse Practitioner, Neonatal
  • Nurse Practitioner, Psychiatry, Adult and Family
  • Non Physician First Assist
  • Physician Assistant
  • Radiology
  • Surgical Scrub Tech/Privately Employed
• Clinical Competence Peer Reference Form
• Sponsoring Physician Statement
• Application Invoice
• Release of Information

Please contact Medical Staff Services at (480) 394-4066 or the Banner Health CVO at (480) 684-5050 with questions.