Medical Providers Volunteer Requirements
Eligibility
Thank you for your interest in volunteering at the Leahy Community Health and Family Center (LCHFC). Please click here for a letter from the Director of the LCHFC to all physicians, nurses, and other medical providers looking to volunteer.
To be eligible to volunteer at the LCHFC all professional medical providers and nurses must submit proper forms and clearances.
Medical Provider Volunteers
Professional Medical Volunteer Providers must obtain and submit the following forms:
- Review the CFPB Summary of Rights document. Sign the Acknowledgement and Authorization for Background Checks. Provide to the Leahy Community Health and Family Center. You must understand your rights prior to submitting for Federal and State Clearances.
- Volunteer Provider Initial Application
- Statement of Fitness/Medical Clearance PPD
- or
- Instructions for how to complete this clearance can be found on page three of the PDF.
- Instructions & service code to complete the
- Volunteer License Application --
Nursing/Pharmacy/Other Healthcare Providers
- Volunteer Nursing/Pharmacy/Other Initial Application
- Statement of Fitness/Medical Clearance PPD
- or
- Instructions for how to complete this clearance can be found on page three of the PDF.
- Instructions & service code to complete the
- Volunteer License Application --
Physical Therapy Volunteer Providers
Physical therapy providers interested in volunteering must obtain and submit:
- or
- Instructions for how to complete this clearance can be found on page three of the PDF.
- Physical Therapy Provider Initial Application
Leahy Center
Contact Us:
570-941-6112
Location:
230 Kressler Court
糖心短视频app, PA 18503
230 Kressler Court
糖心短视频app, PA 18503
Mailing Address:
Leahy Community Center
800 Linden Street
糖心短视频app, PA 18510-4699
Leahy Community Center
800 Linden Street
糖心短视频app, PA 18510-4699
Instagram: @theleahycenter