San Juan County COVID-19 Public Health/Medical Volunteer Registration Form
Use this form to submit initial information for islanders with medical license, certification, or public health investigation experience who are potentially interested in supporting the County COVID response. Note that this is just an information gathering tool, and may not lead to actual deployment as a volunteer.
Your Last Name
Your First Name
Email
Best Telephone Number
What Island do You Live On?
What Skills/Licenses do you Posses?
Please indicate if any of the following are true:
Briefly describe your particular area of interest/expertise or any other key info:
Submit
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