Trip Application
Note to Applicants
Thank you for your interest in a medical mission trip to Central America. Serving the poor around the world can be a life changing experience and will produce memories and friendships that will last a lifetime. We are excited to work with you changing people’s lives around the world. Please be sure to consider carefully your commitment to working in Latin America before applying. Once you have applied we consider that position filled and have no alternatives for medical care if you decide not to go. Also, due to a limited number of flights into and out of Latin America we must make travel plans several months in advance. This requires that we collect money for your trip several months ahead of time. We are excited to work with you and appreciate your cooperation. While Latin American countries have had a stable governments for several years now, we cannot guarantee political stability. The countries we work in are third world countries and have the problems and risks you would expect including poor road infrastructure, lawlessness, disease, evacuation difficulties, and others. THESE RISKS ARE INHERENT IN TRAVEL TO THESE AREAS AND YOU MUST BE WILLING TO ASSUME THOSE RISKS BEFORE YOU TRAVEL. Our hosts in Central America have significant experience in safely housing, feeding, and transporting visitors and we take care to institute reasonable and appropriate precautions when preparing for and caring for travelers but WE CANNOT CONTROL ALL EVENTS IN THESE COUNTRIES AND CANNOT ASSUME RESPONSIBILITY FOR ANY PROBLEMS, INJURIES OR DEATHS THAT OCCURS AS A RESULT OF YOUR TRAVEL OR WORK. As a traveler you will be responsible for obtaining all necessary immunizations and will assume the risk associated with travel to Central America.

The total cost of the trip is $1600(this covers your transportation, food, lodging and insurance). Applications must be received at least 4 months prior to your trip. A $50 NONREFUNDABLE processing fee is due with your application. Send a copy of your passport and current medical license (if applicable) along with the application. These are required to process your application. Your plane tickets will not be purchased until all money has arrived. To ensure your trip takes place we recommend all payments be made at least 3 months prior to your trip. All contributions are tax-deductible. Please make checks payable to: “Total Health” and mail to: Total Health, P.O. Box 424, Lewis Center, OH 43035.

Agreement *
Never submit passwords through Google Forms.
This form was created inside of Total Health. Report Abuse - Terms of Service - Additional Terms