Destination:
Cusco, Peru
OMS/Plastic
Surgery - This Mission is funded in part by a grant from
the Smile Train
IF the chart below shows
that a
CV, and or copy of
your medical
license is needed,
please fax or email
them to the office right
away. We need
these to secure your
working permits in
country. See
below for fax
number.
Important:Your medical
supplies must be
gathered and
carefully documented
early in your trip
planning process.
There is a lot of
paperwork required
to take medical
supplies into
Perul. We
must begin this
process NOW
before your
departure.
|
This is Healing the Children's
1st trip to Cusco, Peru
|
| Dates:
November 11-18, 2006 |
|
Hosts:
Hospital
Antonio Lorena |
UPDATES: If you have not sent in your
paperwork please do so immediately.
Important: Please limit
your personal luggage to one bag to allow for checking in Medical
Supplies.
|
Site Contact Info.: Dr. Holguer Gamarra
Salividar - Plastic and General Surgeon
Shirley Navarro - Local Dentist |
| Team Leader:
David Hoffman
Team Admin:
Loretta DeRosa HTCNE in Office Admin:
Missy Law,
Lisa Cohn
Office phone: 860-355-1828 ext 29 (Dana) ext. 24 (Missy), ext. 23
(Lisa)
HTCNE office fax
860-350-6634 (HTCNE Office Fax)
Team List:
|
|
All documents marked as
"in" are currently in your file and do not need to be resent. All
others should be sent or faxed in ASAP. The chart is updated weekly. |
|
Click
here to e-mail entire team |
|
Participants: |
|
|
|
|
|
|
|
|
|
|
Surgical Staff |
License to Practice |
CV |
Credit Card Auth |
Online Reg. Form |
Health Form |
Release of Liability |
Passport Info |
2006 Dues |
Air Fare
|
|
David Hoffman,
Team Leader |
in |
in |
need |
need |
need |
need |
in |
need |
Grant |
|
Maria Castaneda |
need |
need |
in |
in |
in |
in |
in |
cc |
Grant |
|
Patricia Dibos |
in |
in |
in |
in |
in |
in |
in |
cc |
Grant |
|
Sidney
Eisig |
in |
in |
in |
need |
in |
in |
in |
current |
Grant |
|
Andres Ferro |
in |
in |
need |
need |
need |
need |
in |
need |
Grant |
|
Richard Sidlow |
in |
in |
in |
NA |
in |
in |
in |
current |
Pd |
|
Anesthesiology |
License to Practice |
CV |
credit card auth |
Online Reg. Form |
Health Form |
Release of Liability |
Passport Info |
2006 Dues |
Air Fare
|
|
Antonio Luciano |
in |
in |
NA |
in |
in |
in |
in |
current |
Grant |
|
Faiz Hasham |
in |
in |
in |
need |
need |
in |
in |
current |
Grant |
|
Nursing, PA,
and OR Tech Staff |
License to Practice |
CV |
credit card auth |
Online Reg. Form |
Health Form |
Release of Liability |
Passport Info |
2006 Dues |
Air Fare
|
|
William Buckenroth |
NA |
need |
in |
in |
in |
in |
in |
cc |
Grant |
|
Stephanie
Gladkowski |
in |
in |
in |
in |
in |
in |
in |
cc |
Grant |
|
Stella Marie Nagales |
in |
need |
need |
na |
in |
in |
in |
need |
Grant |
|
Susan Smith |
in |
in |
na |
na |
in |
in |
in |
cc-DH |
Grant |
|
Administration |
License to Practice |
CV |
credit card auth |
Online Reg. Form |
Health Form |
Release of Liability |
Passport Info |
2006 Dues |
Air Fare
|
Loretta
DeRosa
Admin |
in |
in |
need |
in |
need |
need |
in |
current |
Grant |
Some Information on the
location:
Cusco, Peru
Flight
Itinerary :
Due to several changes made so
far we ask that you check your itinerary and verify that
it is correct. Email Me
if it is not correct.
Sidlow:
NOV
11 LV JFK FLT 531 LAN CHILE 10:30 P AR LIMA 6:10 A
NOV
12 LV LIMA FLT 33 LAN PERU 9:55A AR CUZCO 11:10A
NOV
16 LV CUZCO FLT 38 LAN PERU 3:25P AR LIMA 4:45P
NOV
16 LV LIMA FLT 530 LAN CHILE 11:50P AR JFK 7:30A
Eisig:
NOV
11 LV EWR(Newark) FLT 1037 CONT 2:50P AR LIMA 10:45P
NOV
12 LV LIMA FLT 33 LAN PERU 9:55A AR CUZCO 11:10A
NOV
15 LV CUZCO FLT 38 LAN PERU 3:25P AR LIMA 4:45P
NOV
16 LV LIMA FLT 591 CONT 12:54A AR HOUSTON 6:29A
NOV
16 LV HOUSTON FLT 52 CONT 7:55A AR EWR 12:23P
London,Hasham, Buckenroth,Gladkowski, Nagales, Dibos,
Smith, Hoffman, Luciano:
NOV
11 LV EWR FLT 1037 CONT 2:50P AR LIMA 10:45P
NOV
12 LV LIMA FLT 33 LAN PERU 9:55A AR CUZCO 11:10A
NOV
18 LV CUZCO FLT 38 LAN PERU 3:25P AR LIMA 4:45P
NOV
18 LV LIMA FLT 1038 CONT11:55P AR EWR 7:39A
Castanda:
NOV
11 LV JFK FLT 531 LAN CHILE 10:30 P AR LIMA 6:10 A
NOV
12 LV LIMA FLT 33 LAN PERU 9:55A AR CUZCO 11:10A
NOV 17 LV CUZCO FLT
95 LAN PERU 7:30A AR LIMA 8:50A
NOV 17 LV LIMA FLT
510 LAN PERU 10:40A AR MIAMI 4:25P
Hotel Information:
Hotel Royal Inka
Please
note: If for any
reason you are
unable to travel it
is important that
you contact the Team
Leader or Admin
right away so that
your spot can be
filled. If you
get sick and are
unable to travel at
the last minute,
please also contact
the airline and
notify them that you
will not be using
your ticket.
This will allow us
to negotiate (with a
doctors note) a
replacement voucher
for a future
trip. If you
do not notify them
before the flight
leaves the ticket
will be lost.
Fax Forms to HTC at 860-350-6634
Mail Forms to HTC at P.O. Box 129, New Milford, CT 06776
E-mail to mlaw@htcne.org
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