If you wish to
apply for privileges at St. Mary’s Hospital, please
read the instructions for the Application Request Form then
complete and print the Application
Request Form,* sign it and mail or fax it to:
Medical
Staff Office
St. Mary’s Hospital
56 Franklin Street
Waterbury, CT 06706
Telephone:
(203) 709-6421
FAX: (203) 709-8741
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