VOLUNTEER APPLICATION RELEASE AND AUTHORIZATION









Please read the following conditions of volunteering at Health First. Your signature on this form will signify your acceptance of these conditions:

1. Volunteering is contingent on supplying documents that verify your right to volunteer.

2. Any false, misleading or omitted material facts on Health First forms may be cause for termination.

3. Existence of a criminal record is not automatic bar to volunteering. Consideration will be given to the nature of the offense, your age at the time of the offense, the period of time which has elapsed since the commission of the offense and any extenuating circumstances.



In Case of Emergency, Who Should We Contact?









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For more information please call:

Health First’s Cape Canaveral Hospital
321.799.7167

Health First’s Holmes Regional Medical Center
321.434.8519

Health First’s Palm Bay Hospital
321.434.8076

Health First’s Viera Hospital
321.434.9365