Travel Forms
Start planning with these important forms. Links below.
To learn about our outreach program and locations, check out the Countries and Schedules of Trips guide.
To make payments for upcoming events, please click here.
If you would like to learn more about the COM International Medical Outreach Programs, please contact em1036@nova.edu
Location: Kingston and St. Mary, Jamaica
Dates: June 1-10, 2019
Estimated Cost: $1,390.00 (+/- $50) for the entire trip. Cost includes flight, hotel, ground transportation and ~70% of meals. Price is subject to change since flight arrangements have not been finalized. Estimated cost does not include travel insurance (see below). It is recommended that participants bring along $150-$200 to cover miscellaneous cost.
Completed application is due to your discipline coordinator by: Friday, March 21, 2019 Discipline Coordinators should submit completed applications to Dr. Anderson-Worts or Dr. Luzan Phillpotts.
FULL DEPOSIT MUST ACCOMPANY YOUR APPLICATION
Checks Made Payable to “Women of H.O.P.E.” All participants must complete a mission trip application packet. The Jamaica Ministry of Health has several required forms to be completed prior to the mission. Please complete the forms by the requested deadline, so the paperwork can be processed and submitted in a timely fashion.
No refunds after Monday, April 1, 2019 Please Note: Airline Tickets are non-refundable once they are purchased regardless of the full refund deadline.
PASSPORT IS REQUIRED FOR TRAVEL TO JAMAICA!! If you do not have a passport, please make sure you go to the nearest passport agency and complete the application in a timely manner. IT WILL TAKE 6-8 WEEKS (sometimes longer) to receive a new passport. If you do not have a passport by the travel time allotted, you will not be able to participate in the medical mission.
TRAVEL INSURANCE: All participants must submit proof of Travel Insurance with their applicable. Proof of travel insurance is mandatory in order for you to participate in the mission. At least $2,000,000 medical benefits are recommended. Please note emergency evacuation and reparation must be included.
If you do not have travel insurance, then you can obtain travel coverage from any travel insurance company. You can use the insurance link listed below.
NSU recommends for Students and Faculty: Health Travel insurance (link is provided) http://www.internationalstudentinsurance.com/schools/nova-southeastern-university.php
Application Forms and Additional Information:
Jamaica Mission Trip Coordinators:
For Additional Information: Please contact Evelyn Martinez or at (954) 262-1897.
Outreach Program Leader: Dean Elaine Wallace, DO, MS, MS, MS
Location: Quito, Ecuador
Dates: March 2-10, 2019
Price: Approximately $1,750.00 includes airfare, in-country transportation, lodging, all meals and opportunities for birding and/or hiking.
The Ecuador Medical Outreach Program provides free medical care to the underserved population in rural areas of Ecuador. Students, faculty, physicians, dentists, staff and volunteers from the community give their time and talent to provide medical care that would otherwise be unavailable due to the significant shortage of healthcare professionals.
Our goal is to provide quality care and build sustainable relationships with the opportunity to teach and practice. This unique opportunity offers the chance to serve medically needy populations in beautiful isolated areas of Ecuador. Participants will have the opportunity to practice, teach, perform research, and treat an extremely wide variety of diseases.
The areas served range from beautiful mountains under 9,000 feet to the cloud forests and eventually down to the rain forest. The local leader is a veterinarian and an environmentalist who not only works with us in arranging our sites but also shows us ways to better see the beautiful environment in which we will be providing the health care services.
Applications: For NSU Faculty and Students, please click the Faculty and Students button below for the online application. For all others, please use the Non-NSU Personnel button for the application.
Faculty and Students
NON-NSU Personnel
Program Leader: Dean Elaine Wallace, D.O.; Janet Lynn Roseman-Halsband, Ph.D.; David Boesler, D.O.
Location: Albuquerque, Santa Fe, Taos, New Mexico
Dates: POSTPONED, new dates TBA.
Price: Approximately $1,800.00 Includes airfare, transportation, lodging, meals, workshop fees for museums and tours.
Please join us next June as we explore spirituality, art and indigenous healing. This new and exciting humanities program, under the direction of Dean Elaine Wallace will focus on the unique Arts, Spirituality, Indigenous Medicine and culture of New Mexico. We will visit three sites: Albuquerque, Santa Fe and Taos and visit sacred sites, world renowned art museums and learn from indigenous healers and artists. Trip activities: *Visit Taos Pueblo, the oldest pueblo in North America. *Learn of Lakota Indian sacred/spiritual traditions with medicine men and medicine women. *Participate in Lakota healing pipe ceremony. Create medicine bags with cultural anthropologist. *Attend a sacred art workshop. *Visit Georgia O’Keefe museum, the Indian Arts Museum and Spanish Colonial Arts Museum. *Shamanism workshop. *Visit Chimayo, the church of miracles. *Attend a mindfulness workshop/meditation walk. *Pinch-pot making
All Deans, Assistant Deans, faculty, students and residents from the Dr. Kiran C Patel College of Osteopathic Medicine and their significant others. Student Community Service Hours will not be awarded for this trip. Space is limited!