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Destination:
Cuzco, Peru-
This is HTCNE's First Podiatric mission to Cuzco
Team Leader -Allison Silhanek, DPM
Register Here
next
Download Trip Forms
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Dates:
Sponsor:
Greater NY Podiatric Foundation
Hosts: Holguer Gamarra and Shirley Adira
Hospital: Hospital Antonio Lorena,
DRA.
LIDIA MOQUILLAZA ORMEÑO
Hotel: Royal Inka II in Cuzco http://www.royalinkahotel.com
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Administrative Contact:
Dana Buffin HTCNE
in Office Admin:
Dana Buffin, Missy
Law
Office phone: 860-355-1828 ext 29 (Dana) ext. 24
(Missy) fax 860-350-6634 |
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Participants: |
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Team Leader |
License to Practice |
CV |
Diploma |
On Line Reg. |
Health Form |
Release of Liability |
Passport Info |
Credit Card Auth |
Evac
Insur fee |
Air Fare
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In Country Expenses $TBD |
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Alison
Silhanek, DPM |
in |
in |
in |
in |
in |
in |
in |
in |
cc |
paid |
need |
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Surgeons |
License to Practice |
CV |
Diploma |
On Line Reg.
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Health Form |
Release of Liability |
Passport Info |
credit card auth |
Evac
Insur fee |
Air Fare
|
In Country Expenses
$TBD |
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Roland Ramdass, DPM |
in |
in |
in |
in |
in |
in |
in |
in |
cc |
paid |
need |
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Yokaira
Espiritusanto,
DPM (RES) |
in |
in |
in |
in |
in |
in |
in |
in |
cc |
paid |
need |
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Anesthesia |
License to Practice |
CV |
Diploma |
On Line Reg.
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Health Form |
Release of Liability |
Passport Info |
credit card auth |
Evac Insur fee |
Air Fare
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In Country Expenses
$TBD |
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Gerald
Lefever, MD Anesthesia Director |
in |
in |
in |
NA |
in |
in |
in |
in |
cc |
paid |
need |
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Maria David, CRNA |
in |
need |
need |
need |
in |
in |
need better copy |
in |
cc |
paid |
need |
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OR Support |
License to Practice |
CV |
Diploma |
On Line Reg.
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Health Form |
Release of Liability |
Passport Info |
credit card auth |
Evac Insur fee |
Air Fare
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In Country Expenses $TBD |
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Maureen
Emmons - OR Supervisor |
in |
in |
in |
in |
in |
in |
in |
in |
cc |
paid |
need |
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Maureen Sihler
RN |
in |
need |
in |
in |
in |
in |
in |
in |
cc |
paid |
need |
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PACU |
License to Practice |
CV |
Diploma |
On Line Reg.
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Health Form |
Release of Liability |
Passport Info |
credit card auth |
Evac Insur fee |
Air Fare
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In Country Expenses
$TBD |
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Joan
Caramante, RN PACU |
in |
in |
need |
in |
in |
in |
in |
in |
cc |
paid |
need |
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Nina Huberman,
MD |
in |
need |
in |
in |
in |
in |
in |
in |
cc |
paid |
need |
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Marilyn
Uchino, RN |
in |
in |
in |
in |
in |
in |
in |
in |
cc |
paid |
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 |
Evac Insur fee |
Air Fare
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In Country Expenses $TBD |
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Jessica Lindoerfer |
NA |
NA |
NA |
in |
in |
in |
in |
in |
cc |
paid |
cc |
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* Membership Dues have
been eliminated. You will be charged for your
Evacuation Insurance policy which is mandatory -
$45.00 pp.
Make sure that your passport is valid for six
months past the dates of travel. |
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| Flight
Information: |
| Departure |
Return |
LA 531 02 May JFK-LIM
HK15 2330 0630 +1
LP 073 03 May LIM -CUZ HK15
0950 1020 |
LP 030 10May CUZ-LIM HK15
1120 1240
LA 530 10May LIM-JFK HK15 2350
0830+1 |
Ann St Hilaire
Protravel International
VIRTUOSO Member
515 Madison Ave
New York NY 10022
Phone: 800-227-1059 x 274
Fax: 646-688-6889
Gerald LeFever's travel
information:
May 2 JFK - Lima
LAN 531 11:30 p.m. - 06:30 a.m.
May 3 Lima-Cusco LAN 73
09:05 a.m. - 10:20 a.m
May 11 Cusco-Lima LAN 74
1:20 p.m. - 2:40 p.m.
May 15 Lima-JFK
LAN 11:50 p.m. - 8:30 a.m.
He will be touring with his family
in the Iuitos, Peru vicinity betw: May 11-15
Hotel Information:
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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