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Volunteer Application Form

By submitting this form you agree to receive periodic health related information and updates. We welcome your comments, questions and suggestions. We cannot give you medical advice via e-mail. To discuss any medical symptoms or conditions contact your physician or other healthcare professional. In the case of a medical emergency, call 911 or go to the nearest emergency room immediately.

DMC - Rehabilitation Institute of Michigan Confidentiality Agreement

Signed form must be on file at the Rehabilitation Institution of Michigan Volunteer Services, 261 Mack, Detroit, MI 48201, Office - (313) 745-1149, Fax (313) 745-9327, before start of service.