Volunteer Clinic Application

Applying as an individual? Use our Individual Provider Application >

Before Starting - Applications must be completed in one session and cannot be saved/resumed later.

After You Apply - Once we have reviewed and accepted your application, we will email your clinic’s point of contact to develop an MOU and schedule an orientation.

Browser - This application works best on Google Chrome. If you are having difficulty accessing the application, please call us at 503-954-2259 or send us a message.