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

December 08, 2017
Brookhaven Memorial Hospital Medical Center's Heartwarming Story, Jimmy Blake

Who wasn't touched to see the CBS news story, on our own Jimmy Blake

November 28, 2017
Achievements in Health Care & BMHMC's Honorees!

Congratulations to our very own Dr. Charles Rothberg & RN Natalie Radino

November 17, 2017
Sayville Rotary Veteran's Luncheon and Brookhaven Memorial Hospital Medical Center

November 9th at the beautiful Land's End in Sayville honored a number of veterans from various military forces and years of service

November 08, 2017
Habitat for Humanity & Brookhaven Memorial Hospital Medical Center

Habitat for Humanity held a Dedication Ceremony for new homeowners, The Ortiz Family