Volunteering

Application for Volunteer Membership

If you would like to be a part of this worthwhile program, you can apply using the form below. If you would like more information, please call the Volunteer Services Office of Brookhaven Memorial Hospital Medical Center at 631-654-7737.

If you are currently a student please use the Application for Junior Volunteer Membership.

* Required Information

Personal Information

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Please check all areas of service you are interested in:

Please specify the times you are available each of the following days:
Morning Afternoon Evening
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

Education
You must be at least 14 years of age to apply.

In Case of Emergency, notify:

Physician:
Hospital News View All

February 24, 2017
Celebrating an Important Opening!

This month we celebrate Heart Health Month and the opening of our Knapp Cardiac Care Center

January 30, 2017
Brookhaven Memorial Hospital Partners With Habitat for Humanity

Two team construction projects were organized

January 17, 2017
Patchogue Rotary Check Presentation

The Rotary Club of Patchogue presented a $53,100 check to Brookhaven Memorial Hospital Medical Center

December 27, 2016
Brookhaven Women's Imaging Services Has Relocated!

Women's Imaging Services has moved to 100 Hospital Road, Suite 100 in Patchogue