Destination:
Asuncion, Paraguay
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Download Trip Forms
IF the chart below shows
that a
CV, Medical
License, Med. School
Diploma, or
Delineation of
Privileges is needed,
please fax or email
them to the office right
away. We need
these to secure your
working permits in
country.
(860) 350 6634 - fax
If you have
difficulty finding
your
Nursing School
Diploma, please call
your school and ask
them to fax us a
letter stating that
you
graduated...Thanks
Destination:
Asuncion,
Paraguay
Specialty:
Pediatric
Cardiology
and
Cardiovascular
Surgery
Team Leader:
Dr. Olga
Toro Salazar
and Dr.
Dennis Mello |
|
|
Dates:
TBD |
|
|
Sponsor:
Nancy Garay
Hospital: Centro Materno
Infantil de San
Lorenzo
Av. Mcal
Lopez-Esquina
de la
Amistad, San
Lorenzo,
Paraguay
Dr. Edgar
Gimenez,
Director
Tel/Fax
595-21-683874 also
595-21-683930/32 |
|
Updates: Supplies
are being
collected
for packing
and shipping
at the
following
location:
Connecticut
Children’s
Medical
Center
c/o
Priscilla
Pandozzi-Valentin
5-C,
Child &
Family
Support
282
Washington
Street
Hartford,
CT
06106
|
|
Site Contact
Info.: Nancy
Garay
Hotel Info:
Hosteria
Los Alpes
595-21-607348
e-mail
losalpessantateresa@hotmail.com
See below
for flight
information |
Click on any
Team member
name in blue
to send an
e-mail |
Administrative
Contact:
Betsy
Dobotka
|
Email entire
team |
|
Participants: |
|
|
|
|
|
|
|
|
|
|
|
|
Surgery/Cardiology |
License to Practice |
Curriculum
Vitae
|
Diploma
|
Privilege
Delineation |
Clinical
Specialty |
Health
Form
|
Signed
Release |
Passport Info |
Credit
Card
Auth |
2008 Dues |
Airfare |
|
John Heim |
need |
in |
in |
need |
in |
in |
in |
in |
need |
need |
need |
|
Leopold Harris |
need |
in |
need |
need |
in |
in |
in |
in |
not given |
need |
need |
|
Dennis Mello |
need |
in |
in |
need |
in |
need |
need |
in |
need |
need |
need |
|
Olga Toro-Salazar |
need |
in |
in |
need |
need |
need |
need |
need |
need |
need |
need |
|
Intensivist |
License to Practice |
Curriculum
Vitae
|
Diploma
|
Privilege
Delineation |
Clinical
Specialty |
Health
Form
|
Signed
Release |
Passport Info |
Credit
Card
Auth |
2008 Dues |
Airfare |
|
Daniel Fisher |
in |
in |
in |
need |
in |
in |
in |
in |
in |
cc |
need |
|
Purfusionist |
License to Practice |
Curriculum
Vitae
|
Diploma
|
Privilege
Delineation |
Clinical
Specialty |
Health
Form
|
Signed
Release |
Passport Info |
Credit
Card
Auth |
2008 Dues |
Airfare |
|
Carol Ann Rosenberg |
in |
in |
letter |
in |
in |
in |
in |
in |
in |
in |
need |
|
Pediatrics |
License to Practice |
Curriculum
Vitae
|
Diploma |
Privilege
Delineation |
Clinical
Specialty |
Health
Form
|
Signed
Release |
Passport Info |
Credit
Card
Auth |
2008 Dues |
Airfare |
|
Neviana Raykov NP |
need |
in |
need |
NA |
in |
need |
need |
in |
need |
need |
need |
|
Anesthesiology |
License to Practice |
Curriculum
Vitae
|
Diploma |
Privilege
Delineation |
Clinical
Specialty |
Health
Form
|
Signed
Release |
Passport Info |
Credit
Card
Auth |
2008 Dues |
Airfare |
|
Arlyne Thung |
need |
need |
need |
need |
need |
need |
need |
need |
need |
need |
need |
|
|
need |
need |
need |
need |
need |
need |
need |
need |
need |
need |
need |
|
Nursing/OR Techs/Other |
License to Practice |
Curriculum
Vitae
|
Diploma |
|
Clinical
Specialty |
Health
Form
|
Signed
Release |
Passport Info |
Credit
Card
Auth |
2008 Dues |
Airfare |
|
Mary Bannan |
in |
in |
in |
in |
in |
in |
in |
in |
need |
need |
need |
|
Edie Black PACU |
in |
need
(with new name) |
need |
|
in |
in |
in |
in |
need |
need |
need |
|
Claire Hibbs PACU |
in |
in |
in |
|
in |
in |
in |
in |
need |
need |
need |
|
Linda Craib PACU |
in |
in |
in |
|
in |
in |
in |
in |
need |
need |
need |
|
Doreen Prentice |
in |
in |
in |
NA |
in |
in |
in |
in |
in |
cc |
cc |
|
Priscilla Pandozzi-Valentin |
NA |
need |
NA |
NA |
NA |
need |
need |
need |
need |
need |
need |
|
Administration |
License to Practice |
Curriculum
Vitae
|
Diploma |
|
Clinical
Specialty |
Health
Form
|
Signed
Release |
Passport Info |
Credit
Card
Auth |
2008 Dues |
Airfare |
|
Betsy Dobrotka |
NA |
NA |
NA |
NA |
NA |
in |
in |
in |
in |
in |
in |
|
Ada Ustjanauskas |
NA |
NA |
NA |
NA |
NA |
in |
in |
in |
in |
cc |
cc |
|
|
|
|
Flights:
TBD
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 |
