Health Care Providers: Help Tropical Clinics Make a
Difference in Rural Community Health Care

We seek to develop an outreach program for medical care professionals, nutritionists and health educators from around the world to share expertise with local health professionals and gain knowledge in tropical medicine.

Please complete the following form for more information on how you can help us make Tropical Clinics a reality:

Contact Information
Full Name: *
Email Address: *
Address
City
U.S. State/ Canadian Province
Country
Zip/Postal Code
Contact Phone	(Please include area code, as well as country code if outside North America)


Type of heathcare practice: (Alternative practitioners are also encouraged to apply)
Are you cleared to provide healthcare in Africa? Yes No
What length of time would you be able to devote to TropicalClinics, Kakamega?
Will you be traveling with a team of health care providers? Yes No Not sure
Will you be able to bring any sort of diagnostic kit? (including, but not limited to Malaria, Tuberculosis, HIV, Influenza) Yes No If yes, what kind?
Would you be available to volunteer at the TropicalClinics Treatment Center? Yes No
Questions or Comments? If you see this, leave this form field blank.

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Make a Car Donation:

http://www.cars4charities.org/

cars4charities.org Cars4Charities is a not-for-profit center that processes vehicle donations for multiple charities. The center allows the donor to select the charity they wish to benefit from their donation.

When a donor selects TropicalClinics from the Cars4charities list, TropicalClinics receives a minimum of 65% of the sale price of the vehicle.

Cars4Charities was formed to provide vehicle donation services to reputable charities like this one that do not have an organized program.

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Tel: 732-331-6859

Health Care Providers: Help Tropical Clinics Make aDifference in Rural Community Health Care

Contact Information

Signup for our Newsletter!

Make a Car Donation:

Health Care Providers: Help Tropical Clinics Make a
Difference in Rural Community Health Care