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Destination:
Santa Marta, Colombia
Team Leader - Dr. Manoj Abraham
Register Here
Team Photos and Blog:
http://healingchildren.blogspot.com/
Host: UNIMA under the
direction of Cecilia Santos de Cely
(011-575-422-8968)
Hospital: Hospital
Central Julio Mendez Barreneche of Carrera
14# 23-42 in Santa Marta (57-5-421-5040)
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Dates:
Sept. 22/23 to Sept. 29/30, 2007 Sponsor:
Unima - Cecilia Santos is our Host
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Administrative Contact:
Steve Nargiso
860-354-6100 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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Manoj
Abraham, MD,
Team Leader |
in |
in |
in |
in |
in |
in |
in |
in |
cc |
cc |
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Art Menken, MD |
in |
in |
in |
in |
in |
in |
in |
in |
cc |
cc |
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Cliff
Mihail, MD |
in |
in |
in |
in |
in |
in |
in |
in |
cc |
cc |
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Anand Patel, MD (RES) |
NA |
in |
in |
in |
in |
in |
in |
NA |
in |
in |
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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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Patricio Escandon, MD |
in |
in |
need |
need |
in |
in |
in |
need |
need |
need |
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Nick Schewtschenko, CRNA |
in |
in |
in |
in |
in |
in |
in |
in |
cc |
cc |
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Veronica Swanson,
MD |
in |
in |
in |
in |
in |
in |
in |
NA |
in |
in |
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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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Chikela Cody |
in |
in |
NA |
in |
in |
in |
in |
in |
cc |
in |
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Terri Daly, RN |
in |
in |
in |
in |
in |
in |
in |
in |
cc |
see Dana |
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Debbie Fritz, RN |
in |
in |
in |
in |
in |
in |
in |
in |
in |
in |
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Leonora Gerspach, RN |
in |
in |
in |
in |
in |
in |
in |
in |
cc |
cc |
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Bibi Yasin, Surg Tech. |
in |
in |
in |
in |
in |
in |
in |
in |
cc? |
cc |
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Recovery Staff
|
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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Kavita Aggarwal,
MD Internist |
in |
in |
in |
in |
in |
in |
in |
M.A. |
cc |
cc |
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Byron
Fernandez, MD Pediatrician / Medical
Director |
in |
in |
in |
in |
in |
in |
in |
in |
cc |
cc |
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Tamara Faublas-Joseph, RN |
in |
in |
in |
in |
in |
in |
in |
in |
cc |
cc |
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Mary Hayden, RN |
in |
in |
in |
in |
in |
in |
in |
in |
cc |
cc |
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Elaine Suderio-Tirone, RN |
in |
in |
in |
in |
in |
in |
in |
in |
cc |
cc |
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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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Steve Nargiso |
NA |
NA |
NA |
in |
in |
in |
in |
in |
cc |
cc |
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Joel Seligman |
NA |
NA |
NA |
in |
in |
in |
in |
in |
cc |
cc |
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Annabel Clark |
NA |
NA |
NA |
in |
in |
in |
in |
NA |
in |
in |
Make sure that your passport is valid for six
months past July 2007 |
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| Flight
Information: |
| Departure |
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Saturday, Sept. 22, 2007
14 flying:
AV 21 JFK-BOGOTA 830A-105P
AV 9768 BOGOTA-SANTA MARTA 730P -855P
(Swanson only)
DELTA 66 PORTLAND - ATLANTA 6:15A -
1:56P
DELTA 299 ATLANTA - BOGOTA 4:35P -
8:26P
Sunday, Sept 23, 2007
4 flying:
(Menken, Mihail, Nargiso, Seligman)
AV
21 JFK-BOGOTA 8:30A-1:05P
AV 9768 BOGOTA-SANTA MARTA 7:30P -8:55P
(Swanson only)
AV 8484 BOGOTA - SANTA MARTA 7:25A -
8:55A
Wednesday, Sept 26, 2007
(Kavita Aggarwal only)
AV
21 JFK-BOGOTA 830A-105P
AV 9768 BOGOTA-SANTA MARTA 7:30P 8:55P
Returns:
Saturday Sep 29, 2007
(Swanson only)
AV 9769 SANTA MARTA - BOGOTA 9:20P -
10:45P
Sunday Sept 30, 2007
Remainder of
Team Returns together:
AV 9361 SANTA MARTA-MEDELLIN 12:15P -
1:48P
AV 42 MEDELLIN – JFK 6:00P – 12:15A
(Swanson only)
DELTA 298 BOGOTA - ATLANTA 9:30A - 3:25P
DELTA 547 ATLANTA - PORTLAND 7:15P -
9:19P
Airfare:
$625.90 plus $42.78 per person
(including Kavita)
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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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