Is there a Fee to Apply?

We charge an application fee of $700 for Medical Staff and Allied Health applicants, which includes $350 for the first two years dues. Payment is due at the time of application; we accept checks and credit cards.

Make checks payable to: EvergreenHealth and mail to:

Medical Staff Services MS 50
12040 NE 128th St
Kirkland, WA 98034

For credit card payment, please complete the credit card authorization form and submit it at time of application by email to

There is no payment required with application submission for providers employed by EvergreenHealth.