• Screening Checklist for Visitors and Employees

    GRMC Medical Volunteer Form

  • Thank you for joining us. We may need the help of qualified health professionals and related professionals to supplement our current hospital capacity temporarily as we deal with a potential surge of COVID-19 patients. If you are willing to support the GRMC’s efforts in a volunteer capacity, please let us know by completing this survey regarding your experience and qualifications. GRMC does not guarantee positions for any medical personnel, but will contact you should the need arise.

  • Medical Volunteer Information

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  • Scope of Care

  • Matching with Need

  • Other Information

  • Note: If you don’t see a confirmation after clicking “Submit”, please scroll up and enter missing information as highlighted.

  • Should be Empty:
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