Get Bryan Tower

Filling out the Bryan Tower form is a straightforward process designed to facilitate your application. This guide provides a detailed walkthrough to help you navigate each section of the form effectively.

Follow the steps to complete your application with ease.

1. Press the ‘Get Form’ button to obtain the form and open it for editing.
2. Fill in the date of your request in the designated area.
3. Enter your name and phone number in the section labeled 'requestor’s name/phone.'
4. Indicate whether the applicant has a current Texas license by selecting 'yes' or 'no.' If the answer is 'no,' confirm if the applicant has applied for a Texas license.
5. Provide the applicant’s name as it appears on their license in the appropriate field.
6. Specify the applicant's degree or certification, such as MD or DDS.
7. Fill in the Social Security Number (SSN) and date of birth (DOB) of the applicant.
8. Detail the applicant’s specialty or subspecialty in the designated field.
9. Indicate whether the applicant is board certified by selecting 'yes' or 'no,' and specify if they are board eligible.
10. For allied health professionals, provide the name of the sponsoring physician and any specified privileges.
11. Complete the primary office address section with necessary details, including city, state, ZIP code, phone, fax, and email.
12. If applicable, provide a different mailing address, including the same details as the primary office section.
13. Indicate if the applicant is applying to or has applied to other Baylor hospitals, and specify which hospital will be primary if applicable.
14. At the end of the form, ensure that any sections designated for Medical Staff Services or CVS are complete.
15. Once all fields are filled in correctly, save your changes. You may then download, print, or share the form as needed.

Complete your Bryan Tower form online today for a smooth application process.