El Camino Hospital|
To use the form, the Auxilian must be a Service Chairman or one who has been designated to act on behalf of the Chairman. An account with a username and a password must be set up to use the form. To determine how to set up an account, send an email to Phil Henderson at email@example.com. Include your name and phone number and instructions will be sent to you with instructions to set up an account. If you are acting on behalf of a Chairman, include the Chairman's name and Service. Once you have the account, Click on the link below to go to the login screen and subsequently to the Web Form.
Note that a new browser tab or browser window will open with the login screen.