Forms for Team Leaders


The following form is for team leader use and should be sent to the Team Coordinator Peggy Hook (hookkp@gmail.com) six weeks prior to arrival. Payment of fees should be sent to CHHF office (P.O. Box 528; Barnwell, SC 29812).

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The following forms are needed while serving at the clinic.

  • Patient Exam Record- A minimum of 800 will be needed for one week at the clinic.  
  • Prescription Sheet- May be used at the discretion of the team leader for doctors to order prescriptions from the pharmacy at the clinic.  A minimum of 800 will be needed.
  • Lab Record- None needed in 2016.  They are at the clinic.
  • Patient Referral Form- A few may be needed.

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The following are to be completed by the team leader and returned to the Team Coordinator no later than 24 hours after returning home.  Email to Peggy Hook at hookkp@gmail.com 

Team Leader Information

Important Information



The following documents provide the latest information for Team Leaders to plan your trip to Honduras.



Malaria Protocol


Many cases of malaria are being identified at the CHHF clinics.  Claudia Norales has been trained by Gloria Lacayo and other lab technicians in identifying malaria and is proficient.  Malaria medicine is difficult to find in Honduras and many teams take it with them. The following may be helpful in your planning.


Questions?


If you have questions not answered in the above information please contact us 

Email:  hookkp@gmail.com    

Phone: (757) 220-2142

Trip and Medical Insurance


There are a number of companies which will provide travel and medical insurance for mission teams.  Below are some possible contacts.  If you use a different insurer we will be pleased to include them in the list for other teams to consider.  CHHF does not recommend any company, but we do highly recommend that your team take medical, medical evacuation, and travel insurance for all mission travel.