Physician Interest Form
Thank you so much for your interest to be a volunteer physician for the Dade County Street Response! Physicians play an integral role in making our clinics a success. The street rounds are every Saturday from 8am-11a. The urgent care is operating every Thurs-Sunday 9-3pm. All supplies & PPE will be provided.

For more detailed information about our services, policies, and operations, feel free to explore our website or Operations Manual:

https://docs.google.com/document/d/1eRp-1FlQevwhJ_A3qjkvnv8SR-n1R3E_jqFSrdm0fQg/edit?usp=sharing
www.dadecountystreetresponse.org
www.miamistreetmedicine.org

Feel free to contact Armen Henderson at armenh07@gmail.com and Dan Bergholz drb170@med.miami.edu with any questions. We respect your time and sincerely thank you for offering your expertise for this important community outreach effort. 
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Self-Signup Calendars
If you have already spoken with us and completed the volunteer training - or you just want to see the dates and times - please feel free to use the self-signup below. Otherwise, submitting this google form gets your information down on our list and you will be contacted as opportunities arise. 

Doctors Within Borders: https://www.notion.so/dadecountystreetresponse/bdd29448c5f34b0487fcdb5b840161d5?v=9278a30aa65340be991e0903cb6b1ce5

Miami Street Medicine: https://www.notion.so/dadecountystreetresponse/98013361f64a48f394c4f1c50200d1ac?v=e20863faf0794f58a26eb71844930a97

---> Please sign up under the role, "Provider" or "Clinical Support." 
Name *
Department
Role
If an attending physician, please provide your license number if you would like us to organize a Fl. Dept. of Health sovereign immunity contract for you.


The Volunteer Health Care Provider Program (VHCPP) provides an avenue for health care professionals to provide donated medical/dental care to the uninsured and low-income residents of Florida while under the protection of sovereign immunity. Meaning, the State of Florida is solely liable for any injury or damage suffered by a client receiving health care, as long as the provider works within the scope of his/her job description and is an agent of the state.
Do you currently hold (or have you ever held) an active VHCPP contract through the Florida Dept. of Health *
Which Programs Would You Like To Volunteer With? 
Miami street medicine, doctors within borders
 *
If you have specific availabilities or conflicts, feel free to let us know here.
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