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
Thursay
Friday
Saturday
Sunday

Education

In Case of Emergency, notify:

Physician:
Hospital News View All

May 2015
National Nurse's Day 2015

Celebrating BMHMC Nurses

April 2015
Congratulations Star Award Winner Eileen Grady

Environmental Service winner for April 2015

April 2015
Ebola Functional Drill Deemed a Successful Exercise!

An exercise in prepardness

April 2015
Women For Brookhaven - A Spectacular Event!

Annual Fund Raiser - A spectacular success!