Senator Brad Hoylman's COVID-19 Medical Volunteer List
Governor Cuomo and his office have asked New Yorkers, especially those with medical training or knowledge, to volunteer in their communities as we help our neighbors who may become sick due to COVID-19. Volunteers will be asked to work at testing clinics, hospitals, or other medical facilities experiencing higher-than-usual patient volume as the number of New Yorkers infected with COVID-19 grows.

After you fill out this form, Senator Hoylman's staff will share your contact information with Governor Cuomo's office and the New York State Department of Health, who are leading COVID-19 response efforts in New York. We will not share it with any other elected officials or businesses.
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Are you willing to serve as a medical volunteer? *
What is your First & Last name? *
What is your email address? *
What is your ZIP code? *
What is your phone number? *
What is your previous experience? *
Is there anything else you would like to tell us?
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