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

July 2015
Brookhaven Memorial Hospital Home Health Agency

Remarkable 4.5 Qualtiy of Patient Care Star Rating!

July 2015
Tournament of Tournments A Terrific Success!

BMHMC Signature Fundraising Event

June 23, 2015
Knapp Cardiac Care Center - Steel Beam Signing

Another Milestone Reached!

June 2015
Diabetes Self Management Education Program Recognized by ADA

Recognition by the American Diabetes Association