Asosiyasyon Fanm Ayisyen nan Boston (AFAB)

Boston-Haiti Health Support Team

February-March 2010

Medical Team Volunteer Form

The Haitian community formed an iniative to develop and send Boston-Haiti Health Support Team to Haiti as soon as possible. The Haitian Women's Association of Boston (AFAB-KAFANM) will coordinate this effort, while Dr. Arielle Adrienne wil lead the iniative.

While still in the early planning stage, this initiative is building a list of qualified volunteers willing to travel to Haiti with the medical team to provide health care to earthquake survivors. AFAB-KAFANM will announce the details of the trip later. If you wish to participate, please send an email to AFAB-KAFANM.

In the email, please include your:

  • Name
  • Address
  • Phone Number (include the best times to reach you)
  • Dates Available
  • Professional Qualifications
  • Please specify, are you a doctor, nurse, social worker, medical translator,etc.
  • Language Capacity (Please specify if you are fluent in Creole and/or French)
  • Current Employer(S)/ Place Of Work