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

June 23, 2016
Brookhaven Memorial Hospital Residents Graduate - Congratulations!

Family Medicine and Radiology Residents Graduate

June 20, 2016
Brookhaven Memorial Hospital Participates Once Again In The LI2 Day Walk

LI2 Day Walk

June 09, 2016
Congratulations Dr. Doucet

President of the Suffolk County Medical Society

June 02, 2016
Brookhaven Awarded 2016 Get With The Guidelines-Stroke GOLD PLUS

We have done it again!