The Bon Secours Mercy Health Credentials Verification Organization processes applications for medical staff membership and/or clinical privileges for physicians and advanced practice clinicians for the Bon Secours Mercy Health Facilities listed below. To request an application, please complete the Bon Secours Mercy Health Application Request Form (ARF) by clicking on the link below. Once the completed ARF is received the application link will be sent to the email provided within 3 to 5 business days. Thank you for applying.

To start the process, Click here to access the ARF 

Ohio

Cincinnati

Anderson Hospital

Clermont Hospital

Fairfield Hospital

Jewish Hospital

Kings Mills Hospital

West Hospital
Lima

Institute of Orthopaedic Surgery

St. Rita's Medical Center
Lorain

Allen Hospital

Lorain Hospital
Springfield

Springfield Hospital & Urbana Hospital
Toledo

Mercy Defiance Hospital

Mercy Tiffin Hospital

Perrysburg Hospital

St Anne Hospital

St Charles Hospital

St Vincent Mercy Medical Center

Willard Hospital
Youngstown

St Elizabeth Boardman Hospital

St Elizabeth Youngstown Hospital

St Joseph Warren Hospital

Kentucky

Lourdes Hospital

Marcum and Wallace Hospital

South Carolina 

Greenville

St. Francis Health System

Virginia

Hampton Roads

Mary Immaculate Hospital

Maryview Medical Center

Southampton Memorial Hospital

Harbour View Medical Center
Richmond

Richmond Memorial Regional Medical Center

Rappahannock General Hospital

Richmond Community Hospital

Southern Virginia Medical Center

Southside Medical Center

St. Francis Medical Center

St. Mary’s Hospital

For additional information or questions about this form, please contact us at:

Bon Secours Mercy Health CVO MH-CVOApplicationRequest@mercy.com