Casa El Buen Samaritano
Monday, December 11, 2017
Donate:Give OnlineVolunteer:Give Your Time

Volunteer Forms

The ministry of Casa El Buen Samaritano would not be possible without our talented and committed group of volunteers. Each week, it is inspiring to see how they give of their time, energy, and professional expertise to show compassion to those in need. To date, over four thousand volunteer hours have gone into making the clinic a reality! Volunteers register patients, take vital signs, provide treatment, pray with patients, translate for clinical volunteers, watch patients' children, and clean the facility after hours.
Currently, Casa El Buen Samaritano is seeking to recruit volunteers in all areas to expand hours of operation. Our waiting room is often filled to overflowing, and the wait time for an appointment continues to increase. However, it will not be possible to open additional clinic nights unless more volunteers sign up. Key volunteer needs include physicians, particularly in the areas of family medicine, internal medicine and obstetrics/gynecology as well as Spanish-speaking volunteers for the spiritual ministry team. Volunteering at Casa El Buen Samaritano is a rewarding experience that allows volunteers to help the underserved in an exciting and dynamic environment.
We offer diverse volunteer opportunities such as:
  • Clinical / Healthcare Volunteer
  • Spiritual Ministry Volunteer  
  • Translation / Bilingual Support
  • Volunteer Education / Training
  • Community Health Program
  • Database Management 
  • Administrative support
  • Children’s Ministry
  •  Clinic Tour Guide
  • Photography / Videography / Graphics / Web Design

Download volunteer forms and email them to the Volunteer Coordinator at



Provider and Professional Forms

General / Ministry Forms

Volunteer Application Volunteer Application
Background Check  Background Check                     
Provider Credentialing Form Confidentiality Guidelines
RN and LVN Credentialing Form  
Other Licensed Professional Credentialing Form  
Confidentiality Guidelines  
Doctors, Physicians Assistants, Nurse Practitioners and Nurses fill out and submit all Providers and Professional forms. All other areas of ministry such as administration support, child care, ESL, ministry,...submit all the General / Ministry forms.

Minor Volunteer Forms

Volunteer Application  
Background Check  
Confidentiality Guidelines  
Minor Volunteer Release Form  
Volunteer Code of Conduct  
All minors wishing to volunteer must fill out and submit all the Minor Volunteer Forms.