Support Us

  

Volunteer at a Surgery Saturday

Access OC is a program designed to restore the health of Orange County's most vulnerable residents by improving access to specialty care. Volunteers are the base of our success, we count on volunteer doctors, nurses, operating room technicians, schedulers, and interpreters to successfully provide free surgeries to the uninsured. Volunteer at the next Surgery Saturday by filling out the form below.

To volunteer, please fill in this form. Your information will be kept confidential.


Volunteer Information
Name: *
Address: *
City: *
State: *
Zip: *
Phone: *
Fax:
Home Email:
Work Email:


Professional Information
   Hospital Affiliation, Employment, and/or Privileges:
   

Role/Position:
Anesthesiologist
Surgeon  Speciality:
CRNA
RN  Select:
Technician
Interpreter
Other  Specify:

I can speak:
Spanish
Mandarin
Vietnamese
Other:

How did you hear about us?
 

 

* denotes required fields
 
© 2010 Access OC, a program of the Health Funders
     Partnership of Orange County, fiscally sponsored
     by the Volunteer Center Orange County.