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

February 11, 2016
Employee Population Health

Brookhaven Memorial Hospital Internal Promotion of Wellness

February 05, 2016
Go Red For Women 2016

Richard Margulis, President and CEO joins staff in promoting Go Red For Women

February 2016
Heart Health at the Knapp Cardiac Care Center

Brookahven Memorial Hospital Medical Center

January 29, 2016
Do You Believe in Miracles?

Kathleen Manganello and SCPD Officer Arnold Reyes United