If you'd like to volunteer with Health Access Initiative, please complete the form below.  We will contact you to discuss how you can help us care for uninsured adults in Hall County.
 

Date:

Name:

Address:

City:  State:    Zip:

Telephone Number:  Home:    Work:    Cell:  

E-mail Address:

Profession:

What days and hours are you able to volunteer?

What types of volunteer work are you interested in doing?