Medical personnel must commit TWO WEEKS in Gaza, Lebanon, Suadan Or Yemen for the missions.
This form is for medical professionals only. Your application will not be considered if you are not a medical professional.

Fill all form field to go to next step

Select Country want to volunteer with us
  • Country want to volunteer with us
  • Gaza - Palestine
  • Lebanon
  • Sudan
  • Yemen
  • All of them
Select Blood type
  • Blood type
  • A+
  • A-
  • B+
  • B-
  • AB+
  • AB-
  • O+
  • O-
Select your specialty
  • Your specialty
  • Emergency Physician
  • ER Nurse
  • Trauma Surgeon
  • OR Nurse
  • Orthopedic Surgeon
  • Anesthesiologist
  • Urologist
  • Vascular Surgeon
  • Plastic Surgeon
  • OB/GYN (Obstetrician/Gynecologist)
  • OMFS (Oral and Maxillofacial Surgeon)
  • ENT
  • Neurosurgeon
  • Thoracic Surgeon
  • Wound Care Specalist
  • Burn Specialist
  • General Surgeon
  • Primary Care Physician
  • Oculoplastic Surgeon
  • Ophthamologist
  • Other

Upload Required Documents .
Please upload the proper documents requested below. PDF format typically works best.

Select (Emergency Contact)
  • Next of Kin
  • Parent
  • Spouse
  • Sibling
  • Grandparent
  • Friend
  • Other

Acknowledgments .
Please carefully read the acknowledgments below. These acknowledgments do not bind you to nor guarantee your spot on any mission, the only serve as a set of expectations which you must be familiar with and agree to before joining a medical team.

I acknowledge that

Voluntary Participation:

Risks:

Professional Conduct:

Release and Waiver of Liability:

Medical Care and Insurance

Right to Cease Participation

Confidentiality Agreement

Media Coverage

Conflict of Interest

Child Protection Protocol

Non-Discrimination

Fundraising Activities

Non-Compete Clause

I acknowledge that submitting this form does not guarantee my spot on a medical team.
Applicants will go through a selection process based on needed specialties as well as experience and will be contacted when on opportunity to join a medical mission arises.

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