Divine Roses Volunteer Interest Form

After completing this form, our team will reach out to you with information on how to start volunteering with Divine Rose.
Thank you for your interest in volunteering with Divine Roses!

Inclusivity Statement

Divine Roses Hospice Care complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Divine roses hospice care does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

Use and Disclosure of Health Information

Divine roses hospice care may use your health information, information that constitutes protected health information as defined in the Privacy Rule of the Administrative Simplification provisions of the Health Insurance Portability and Accountability Act of 1996, for purposes of providing you treatment, obtaining payment for your care and conducting health care operations. The Agency has established policies to guard against unnecessary disclosure of your health information.