MEDICAL GROUP APPLICATION FORM
PART I - CONTACT INFORMATION
SurgicalCommunity Health
PART II - GROUP INFORMATION
PART III - GROUP FEES
There is a recommended medical volunteer donation of $100/day/person for professionals and $65/day/person for students. This donation covers hotel accommodations arranged by the Mission, meals, airport transportation, daily transportation, daily support of health promotors, translators and increased hospital and clinic costs before, during and after your stay associated with the increased patient volume related to group work.
PART IV - MEDICINE NEEDS
Purchase Locally
Buy in the US and bring with you
PART V - SPANISH FLUENCY
PART VI - ADDITIONAL INFORMATION
Please list the following for members of your group


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