I understand that I am volunteering at Desert Regional Medical Center and the information provided is true and correct and has been given voluntarily. As part of the agreement, I will be able to work at least (4) hours per week for a period of (6) months or more.

I agree to hold absolutely confidential all information which I may obtain directly or indirectly concerning patients, doctors, or personnel, and not seek confidential information in regard to a patient.

I will make the commitment to:

• Be punctual and conscientious

• Willingly follow the instruction of my supervisor

• Be responsible for fulfilling my commitment to the hospital

• Conduct myself with dignity, courtesy, and consideration of others

• Take any problems, criticisms, or suggestions to the Director of Volunteer Services if unable to resolve with my supervisor

• Endeavor to make my work professional in quality

• Uphold the philosophy and standards of the hospital and interpret them to the community at large

The volunteer Services Department reserves the right to terminate a volunteer for:

• Failure to comply with hospital policies, rules, and regulations

• Continuous absences without prior notification

• Unsatisfactory attitude, work, or appearance

• Breach of confidentiality

• Falsification of time records

My services are donated to Desert Regional Medical Center without contemplation of compensation or future employment and given with humanitarian, religious or charitable reasons. I will not hold DRMC responsible for any claim or damage as a result of injury, illness or other harmful effects or conditions that may arise related to the volunteer services performed. I authorize DRMC permission to give emergency medical treatment to me if ever needed.