Supervisors | History | Fast Facts | County Departments:
Friday, November 20, 2009




AIDS Program
Emergency Preparedness
California Children's Services
Child Health and Disability Prevention Program
Childhood Lead Poisoning Prevention Program
Communicable Disease Control Program
Confidential Morbidity Report
Department Overview
Emergency Info
Laboratory
Maternal, Child, and Adolescent Health
Notice of Privacy Practices
   English
Preventive Health Care for Adults
Tobacco Control and Education Program
Vital Statistics
WIC Program


Volunteer Form

Please enter your information below and a program coordinator in your area will contact you with more information. Note that your form submission will be encrypted and sent to a secure server.

First Name:  Last Name:
Email:  Alt. Email:

Work Phone:  Home:

Street Address:
Mailing Address (if different):

City:    ZIP:  County:

Do you currently serve as a disaster-response volunteer?   Yes   No
If so, please list the organization(s):

The following information is optional -- to help us learn about your interests and skills:

Please indicate your interest among these types of volunteer roles:

Medical Services (includes health and medical professionals such as doctors, nurses, pharmacists, paramedics, and others)

Non-Medical Services (includes people who assist the public with health screening and other forms, direct people to appropriate lines, and serve as language interpreters, clerks, suppliers, general aides, and others)

Site Support Services (includes people who greet the public, provide parking and traffic direction, child care assistance, and keep sites clean and stocked with supplies, and others)

If a licensed healthcare or mental health provider, please indicate type of license:

If fluent in one or more language(s) other than English, please list:

Other special skills or information you'd like to note:

Please tell us briefly where you heard about this Volunteer Program:

Contacting Us Madera County Public Health Department
14215 Road 28
Madera, CA 93638
Telephone: (559) 675-7893
Fax: (559) 674-7262
Map this location for me
 40169 Highway 49
Oakhurst, CA 93644
Telephone: (559) 658-7456
Toll Free: 1-800-427-6897
Map this location for me


.

County Logo
Main Page
County of Madera
200 West 4th Street
Madera, CA 93637
USA
Map this location for me
General Information:
559-675-7703
Board of Supervisors:
559-675-7700
Fax:
559-673-3302
Address All General Email To:

For Emergencies
Dial 911
CA Flex Logo
©2001 Madera County. All Rights Reserved. Please review our terms of use and privacy policy. This site meets or exceeds The Federal Information Technology Accessibility Initiative. This page was last updated: Friday, October 02, 2009.