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Destination:
Andahuaylas, Peru
Team Leader: Dr. Redett
DR. JESUS COTO RAMOS - Director General de la
Direcciòn de Salud Apurimac II.
The
hospital is:
Hospitel del MINSA
Dirección Regional de Salud Apurimac I
Av. Daniel Alcides Carrión S/N - Abancay
CT: 083-323733 Telefax: 083-322118
Hotel:
Hotel Sol Y Luna in
Miraflores is $11.06 per person
Hotel Sol de Oro in Andahuaylas is $9.47 per
person per night
Register Here
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Dates:
Sept. 14 to 23, 2007
Sponsor:
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Administrative Contact:
Dana Buffin HTCNE in Office Admin:
Dana
Buffin, Missy Law,
Lisa Cohn
Office phone: 860-355-1828 ext 29 (Dana) ext. 24 (Missy), ext. 23 (Lisa)
fax 860-350-6634 |
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Participants: |
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Surgery Team |
License to Practice |
CV |
Diploma |
On Line Reg.
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Health Form |
Release of Liability |
Passport Info |
credit card auth |
2007 Dues |
Air Fare
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Richard Redett,
MD Team Leader |
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Nelson Goldberg, MD |
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Brendan Collins, MD
(RES) |
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NG |
cc |
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Anesthesia Team |
License to Practice |
CV |
Diploma |
On Line Reg.
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Health Form |
Release of Liability |
Passport Info |
credit card auth |
2007 Dues |
Air Fare
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Richard Elliot, MD Anesthesia Director |
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Jennifer
Penzell, CRNA |
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Rebecca Shah, CRNA |
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OR Techs and
RNs |
License to Practice |
CV |
Diploma |
On Line Reg.
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Health Form |
Release of Liability |
Passport Info |
credit card auth |
2007 Dues |
Air Fare
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Irene Wright, RN
OR Supervisor |
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Jocyl Grace Go, RN |
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Karen Kemp, OR Tech |
NA |
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Laura (Lisa) Mathis, RN |
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Brenda Nack, RN |
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Cesar Perez, RN |
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Recovery Staff
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License to Practice |
CV |
Diploma |
On Line Reg.
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Health Form |
Release of Liability |
Passport Info |
credit card auth |
2007 Dues |
Air Fare
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Heidi Wolf, MD |
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Lindsay Hoehn, RN |
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Candie Marchand-Evans, PA |
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Mary Helen Winter, RN |
need |
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Administration |
License to Practice |
CV |
Diploma |
On Line Reg.
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Health Form |
Release of Liability |
Passport Info |
credit card auth |
2007 Dues |
Air Fare
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Jane Bielat |
NA |
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NA |
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Jonathan Cohen,
PA |
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Make sure that your passport is valid for six
months past July 2007 |
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| Flight
Information: |
Depart:
Baltimore Sept 14 Delta Flt 1676
1:17PM
Connect in Atlanta Delta Flt 335
5:15PM
Arrive in Lima 10:50 PM
Perez - Depart Miami Sept 14 AA Flt 917 4:50 PM
Arrives in
Lima 9:15PM
Bielat - Depart Newark Sept. 14 Delta Flt. 1435
11:25AM
Connect in Atlanta
Delta Flt 335 5:15PM
Arrives in Lima
with Team
Return:
Lima
Sept 23 Delta Flt 274 12:20AM
Connect in Atlanta Delta Flt 538
10:32AM
Arrive in Baltimore 12:27PM
Perez - Depart Lima Sept. 22 AA Flt 918
10:50PM (1 1/2 hour
before the rest of the Team)
Bielat - Depart Lima Sept. 23
Delta Flt 274 12:20AM with Team
Connect in
Atlanta Delta Flt 1278 10:00AM
Arrive in
Newark 12:19 PM
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Ann St Hilaire
Protravel International
VIRTUOSO Member
515 Madison Ave
New York NY 10022
Phone: 800-227-1059 x 274
Fax: 646-688-6889
Hotel Information: TBD
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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