Volunteer Form
First Name *
Your answer
Last Name *
Your answer
Specialty *
Your answer
Level of training (if medical student or resident)
Topic of educational contribution
(Referring to the request to prepare 1 or 2 noontime lectures during your stay)
Your answer
Altamirano arrival date *
(The day you're arriving at the hospital, not your plane flight)
Your answer
Altamirano departure date *
(The day you're leaving the hospital, not your plane flight)
Your answer
Submit
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