Medical Staff Contact Information


Please use this form to provide updates to your contact information for our Medical Staff database. We encourage all providers to specify a valid personal email address, as this is the main means of communication for credentialing, privileging, and other medical staff matters. Please note that this information will not be shared with anyone outside of the CHRISTUS organization, and will only be used for official communication.

Once you have completed the form click submit.

* Asterisk indicates a required field

*
*
*
*
*
*
*
Primary CHRISTUS Santa Rosa facility:






*
*
*
*
*
I agree to allow the use of my cell phone for text messages from CHRISTUS Santa Rosa regarding urgent issues affecting patient care:

*